Individual provider Active NPI

Kristina Berrye Miles, NP

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1366321192
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN287512 Issued in GA
Practice address
3600 Lakeshore Dr SW
Smyrna, GA 30082-3037
Phone
(404) 219-8369
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN287512 GA Primary

Addresses

Primary practice location

3600 Lakeshore Dr SW
Smyrna, GA 30082-3037

Mailing address

3600 Lakeshore Dr SW
Smyrna, GA 30082-3037
Phone (404) 219-8369

Other practice location 1

2250 Marietta Blvd NW Ste 306
Atlanta, GA 30318-2260
Phone (404) 692-1050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319002688 GA Practitioner - Nurse Practitioner 3577047380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2250 Marietta Blvd NW
Suite 306
Atlanta, GA 30318-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN287512GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Urgent Care LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

2250 Marietta Blvd NW
Ste 306
Atlanta, GA 30318
Phone (404) 692-1050

Organizations & group practices 1

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1366321192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LAKESHORE DR SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823037",
            "telephone_number": "404-219-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LAKESHORE DR SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823037",
            "telephone_number": "404-219-8369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Marietta Blvd NW Ste 306",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182260",
            "country_code": "US",
            "telephone_number": "404-692-1050",
            "fax_number": "678-403-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "KRISTINA",
        "middle_name": "BERRYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN287512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.