Individual provider Active NPI

Sean M Miles, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1356315535
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052084 Issued in GA
Practice address
1605 Highway 34 E
Ste #A2
Newnan, GA 30265-2191
Phone
(770) 251-2000
Fax
(770) 251-2034
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 052084 GA Primary

Addresses

Primary practice location

1605 Highway 34 E
Ste #A2
Newnan, GA 30265-2191

Mailing address

1605 Highway 34 E
Ste #A2
Newnan, GA 30265-2191
Phone (770) 251-2000

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
I20040701000627 GA Practitioner - Family Practice 9537146105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miles Family Medicine, LLCGroup PAC ID 1759449226, 2 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1605 Hwy 34 E
Suite A2
Newnan, GA 30265-2156
Phone (770) 251-2000

40 Greenway CT
Suite Bandc
Newnan, GA 30265-2326
Phone (770) 502-0195

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052084GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Family Medicine, LLC Family Medicine CurrentSince Sep 19, 2008 Accepting new patients
The Doctor'S Office, LLC Family Medicine Past Accepting new patients

Locations

1605 Highway 34 E
Ste A2
Newnan, GA 30265
Phone (770) 251-2000

Organizations & group practices 2

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 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1356315535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "STE #A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000",
            "fax_number": "770-251-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "STE #A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000",
            "fax_number": "770-251-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.