Active NPI
Samuel Forrest Miles, D.C.
- Chiropractor
- Columbus, GA
National Provider Identifier
1306280532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009182
- Practice address
- 7160 Moon Road
Suite G
Columbus, GA 31909 - Phone
- (706) 507-4000
- Fax
- (706) 221-5533
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009182 | GA | Primary |
Addresses
Primary practice location
7160 Moon Road
Suite G
Columbus, GA 31909
Mailing address
7160 Moon Road
Suite G
Columbus, GA 31909
Phone (706) 507-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | PENDING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151208000716 | GA | Practitioner - Chiropractic | 7810297397 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7160 Moon Rd G
Columbus, GA 31909-4971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1306280532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 MOON ROAD",
"address_2": "SUITE G",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-507-4000",
"fax_number": "706-221-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 MOON ROAD",
"address_2": "SUITE G",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-507-4000",
"fax_number": "706-221-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "SAMUEL",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING",
"identifier": "PENDING",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.