Marah Johnson Miles, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN230438 Issued in GA

Practice address

808 Beacon St
Waycross, GA 31501-7104

Phone

(912) 490-4325

Fax

(912) 490-2873

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marah Hope Johnson Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrity Long Term Care LLCGroup PAC ID 0244609071, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrity Long Term Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Waycross, GA
  • NPI 1376268177
  Medicare reassignment Care Compare group NPD
• Coffee Regional Medical Center, Inc

  • Anesthesiology Physician
  • Douglas, GA
  • NPI 1437120946
  Medicare reassignment NPD
• CRH Physician Practices, LLC

  dba CRH Pain Management

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  Medicare reassignment NPD
• Coffee Regional Medical Center, Inc

  dba Coffee Regional First Care

  • Rural Health Clinic/Center
  • Douglas, GA
  • NPI 1639211956
  NPD
• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  NPD

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

• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1306439369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARAH",
        "middle_name": "JOHNSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARAH",
            "last_name": "JOHNSON",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Memorial Careone Home Health Services Inc (CareOne Home Health Services - Waycross Agency)
• Memorial Satilla Specialists, LLC
• Mending Minds Psychiatry, LLC
• Lauren Mercer, LMFT
• John F Michaels Jr., M.D.
• Robert L Miles, D.C.
• Tanya D Miller, FAMILY NURSE PRACTIT
• Kalie Jean Minchew, PHARMD
• Caleb Mingo, CAA
• Miss Jos PCH

• Family Nurse Practitioner in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.

Verify at the official NPI Registry.