Keonya Milam, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024071077 Issued in TN

Practice address

600 Rothwood Ave Apt K1
Madison, TN 37115-4947

Phone

(615) 596-5887

NPI assigned

Oct 2, 2024

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

Medicare fee-for-service enrollment

Enrolled in TN

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

East Tennessee State University Quillen College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendrix Medical Associates of Tennessee PCGroup PAC ID 4981103140, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mendrix Medical Associates of Tennessee PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
  • NPI 1013805019
  Medicare reassignment Care Compare group NPD
• Stewart Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, TN
  • NPI 1477697514
  Medicare reassignment NPD
• Milam Mental Health, LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, TN
  • NPI 1750266508
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1366260978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROTHWOOD AVE APT K1",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154947",
            "telephone_number": "615-596-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROTHWOOD AVE APT K1",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154947",
            "telephone_number": "615-596-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "KEONYA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "2024071077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Mendoza Marquez, AGACNP
• Jordan Mercurio
• Karen S Meredith, MD
• Lamonia Merritt
• Milam Mental Health, LLC.
• Sonny G Miles
• James O Miller, MD
• Lily-Katherine Miller
• Ronell Miller, L.C.S.W.
• Julia A Mims

• Psychiatric/Mental Health Nurse Practitioner in Madison, TN
• Providers in Madison, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.