Individual provider Active NPI

Andrea R Miles, M.D.

  • Pediatrics Physician
  • McDonough, GA
National Provider Identifier
1275523045
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
54318 Issued in GA
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

Updated by the provider on Sep 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000254 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0345295473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

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 Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
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

LicenseStateTypeSpecialty
54318GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Jul 20, 2025 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients
Dekalb Medical Primary Care Group LLC Current Accepting new patients
Piedmont Pediatric Physicians LLC Pediatrics CurrentSince Sep 1, 2020 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.