Individual provider Active NPI

Margaret A Mealey-Miles, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1275542003
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA964 Issued in KY
Practice address
210 E Gray St
Ste. 1105
Louisville, KY 40202-3900
Phone
(502) 583-1697
Fax
(502) 583-2120
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA964 KY Primary

Addresses

Primary practice location

210 E Gray St
Ste. 1105
Louisville, KY 40202-3900

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 5

IdentifierTypeStateIssuer
104733OtherKYSIHO
7100006770MedicaidKY
000000642020OtherKYANTHEM - NNIKY
3726625000OtherKYPASSPORT ADVANTAGE
50024886OtherKYPASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000251 KY Practitioner - Physician Assistant 5799787198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC013KYMDEmergency Medicine Physician
PA964KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 19, 2017 Accepting new patients
Community Medical Associates, Inc. Physician Assistant CurrentSince Aug 19, 2017 Accepting new patients
Norton Childrens Medical Group, LLC Physician Assistant Past Accepting new patients

Locations

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 170
Louisville, KY 40241
Phone (502) 629-5455

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

Interoperability endpoints

  • Direct secure messaging: mmealeymiles11205@direct.nortonhealthcare.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1275542003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "STE. 1105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023900",
            "telephone_number": "502-583-1697",
            "fax_number": "502-583-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALEY-MILES",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "104733",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100006770",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NNIKY",
            "identifier": "000000642020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3726625000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50024886",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.