Active NPI
Deborah Milam, P.A.
- Physician Assistant
- Marianna, FL
National Provider Identifier
1275511727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003018
- Practice address
- 4896A Highway 90
Marianna, FL 32446-7840 - Phone
- (850) 526-6700
- Fax
- (850) 526-5021
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003018 | GA | Primary |
| Physician Assistant | 363A00000X | PA9108426 | FL |
Addresses
Primary practice location
4896A Highway 90
Marianna, FL 32446-7840
Mailing address
4896A Highway 90
Marianna, FL 32446-7840
Phone (850) 526-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003018 | Other | GA | OTHER |
| FKUJ6 | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108426 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Emergency Specialists PA | Past | Accepting new patients | |
| ENT of Georgia, LLC | Past | Accepting new patients | |
| Houston Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Panama City, FL
- NPI 1770521759
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1558319947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1275511727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4896A HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324467840",
"telephone_number": "850-526-6700",
"fax_number": "850-526-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4896A HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324467840",
"telephone_number": "850-526-6700",
"fax_number": "850-526-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "DEBORAH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003018",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108426",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "003018",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "FKUJ6",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.