Active NPI
Georgia Ann Niles, ARNP
- Women's Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1518198365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4328P
- Practice address
- 850 Barret Ave
Suite #301
Louisville, KY 40204-1745 - Phone
- (502) 574-6699
- Fax
- (502) 574-5922
- NPI assigned
- Jul 28, 2009
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4328P | KY | Primary |
Addresses
Primary practice location
850 Barret Ave
Suite #301
Louisville, KY 40204-1745
Mailing address
850 Barret Ave
Suite #301
Louisville, KY 40204-1745
Phone (502) 574-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78013091 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Past | Accepting new patients |
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.
-
dba CHI Saint Joseph Medical Group
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1518198365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BARRET AVE",
"address_2": "SUITE #301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041745",
"telephone_number": "502-574-6699",
"fax_number": "502-574-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BARRET AVE",
"address_2": "SUITE #301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041745",
"telephone_number": "502-574-6699",
"fax_number": "502-574-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "GEORGIA",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "4328P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78013091",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.