Active NPI
Andrea R Miles, M.D.
- Pediatrics Physician
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 54318
- Practice address
- 101 Regency Park Dr
Suite 150
McDonough, GA 30253-7080 - Phone
- (770) 957-4195
- Fax
- (770) 898-6337
- NPI assigned
- Oct 24, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54318 | GA | |
| Pediatrics Physician | 208000000X | 54318 | GA | Primary |
Addresses
Primary practice location
101 Regency Park Dr
Suite 150
McDonough, GA 30253-7080
Mailing address
101 Regency Park Dr
Suite 150
McDonough, GA 30253-7080
Phone (770) 957-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wright State University Boonshoft School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
1910 Hwy 20 SE
Suite 270
Conyers, GA 30013-2082
Phone (678) 413-4380
350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084
Phone (678) 289-7700
Hospital & facility affiliations
- Piedmont Rockdale Hospital
- Piedmont Newton Hospital
- Piedmont Henry Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54318 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Internal Medicine | Current | Accepting new patients |
| Dekalb Medical Primary Care Group LLC | Current | Accepting new patients | |
| Piedmont Pediatric Physicians LLC | Pediatrics | Current | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Piedmont Providers LLC | Internal Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
1700 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 228-2648
105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860
1910 Highway 20 SE
Ste 270
Conyers, GA 30013
Phone (770) 761-0501
7143 Turner Lake Rd NW
Covington, GA 30014
Phone (770) 787-4504
487 Winn Way
Ste 202
Decatur, GA 30030
Phone (404) 294-0702
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
101 Regency Park Dr
Ste 150
McDonough, GA 30253
Phone (770) 914-7700
189 Jefferson Pkwy
Newnan, GA 30263
Phone (706) 369-5440
3550 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-7806
1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Pediatrics Physician
- Newnan, GA
- NPI 1447315742
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- General Practice Physician
- Decatur, GA
- NPI 1104077171
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1275523045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 REGENCY PARK DR",
"address_2": "SUITE 150",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537080",
"telephone_number": "770-957-4195",
"fax_number": "770-898-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 REGENCY PARK DR",
"address_2": "SUITE 150",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537080",
"telephone_number": "770-957-4195",
"fax_number": "770-898-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "ANDREA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "54318",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "54318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.