Active NPI
Milagros Marshall
- Gerontology Nurse Practitioner
- Griffin, GA
National Provider Identifier
1407509276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG12210070
- Practice address
- 520 Knollwood
Griffin, GA 30224-4562 - Phone
- (770) 990-8170
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG12210070 | GA | Primary |
Addresses
Primary practice location
520 Knollwood
Griffin, GA 30224-4562
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (470) 964-1700
Other practice location 1
1372 Peachtree St NE 100
Atlanta, GA 30309-3203
Phone (470) 964-1700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG12210070 | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- milagros.marshall.1@32913.direct.athenahealth.com
Organizations & group practices 3
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": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1407509276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40412",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151255",
"telephone_number": "470-964-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 KNOLLWOOD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244562",
"telephone_number": "770-990-8170"
}
],
"practiceLocations": [
{
"address_1": "1372 PEACHTREE ST NE 100",
"address_purpose": "LOCATION",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093203",
"country_code": "US",
"telephone_number": "470-964-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "MILAGROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "AG12210070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.