Individual provider Active NPI

Leah Harris Miller, NP

  • Nurse Practitioner
  • La Fayette, GA
National Provider Identifier
1467675702
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
189150 Issued in GA
Practice address
611 East Villanow Street
CHI - Memorial Family Practice Associates - Lafayette
Lafayette, GA 30728
Phone
(706) 638-1606
Fax
(706) 638-9987
NPI assigned
Apr 11, 2007
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 189150 GA Primary

Addresses

Primary practice location

611 East Villanow Street
CHI - Memorial Family Practice Associates - Lafayette
Lafayette, GA 30728

Mailing address

611 East Villanow Street
CHI - Memorial Family Practice Associates - Lafayette
Lafayette, GA 30728
Phone (706) 638-1606

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
I20070601000409 GA Practitioner - Nurse Practitioner 7214035039 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12625TNMDMassage Therapist
189150GAMDNurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1467675702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 EAST VILLANOW STREET",
            "address_2": "CHI - MEMORIAL FAMILY PRACTICE ASSOCIATES - LAFAYETTE",
            "city": "LAFAYETTE",
            "state": "GA",
            "postal_code": "30728",
            "telephone_number": "706-638-1606",
            "fax_number": "706-638-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 EAST VILLANOW STREET",
            "address_2": "CHI - MEMORIAL FAMILY PRACTICE ASSOCIATES - LAFAYETTE",
            "city": "LAFAYETTE",
            "state": "GA",
            "postal_code": "30728",
            "telephone_number": "706-638-1606",
            "fax_number": "706-638-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LEAH",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "189150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, GA

Sources for this page

Verify at the official NPI Registry.