Individual provider Active NPI

Mia Kilby, FNP

  • Family Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1558752071
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198783 Issued in GA
Practice address
850 W Thomas St
Milledgeville, GA 31061-2674
Phone
(478) 607-2514
Fax
(478) 607-2513
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 RN198783 GA Primary

Addresses

Primary practice location

850 W Thomas St
Milledgeville, GA 31061-2674

Mailing address

PO Box 26040
Macon, GA 31221-6040
Phone (478) 475-1299

Other practice location 1

260 W Clinton St
Suite #3
Gray, GA 31032-5430
Phone (478) 787-4728

Other practice location 2

6501 Peake Rd Ste 1000
Macon, GA 31210-8052
Phone (478) 607-2514

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
I20150401001294 GA Practitioner - Nurse Practitioner 3577880566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langford Allergy LLCGroup PAC ID 6103057054, 6 clinicians

Practice addresses (Care Compare)

128 Tommy Stalnaker Dr
Suite 200
Warner Robins, GA 31088-8034
Phone (478) 607-2514

260 W Clinton St
Suite 3
Gray, GA 31032-5430

6501 Peake Rd
Suite 1000
Macon, GA 31210-8052
Phone (478) 607-2514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Langford Allergy LLC CurrentSince Jan 12, 2015 Accepting new patients

Locations

260 W Clinton St
Ste 3
Gray, GA 31032
Phone (478) 607-2514

6501 Peake Rd
Ste 1000
Macon, GA 31210
Phone (478) 475-1545

850 W Thomas St
Milledgeville, GA 31061
Phone (478) 452-4800

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1558752071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26040",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216040",
            "telephone_number": "478-475-1299",
            "fax_number": "866-561-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612674",
            "telephone_number": "478-607-2514",
            "fax_number": "478-607-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W Clinton St",
            "address_2": "Suite #3",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "GA",
            "postal_code": "310325430",
            "country_code": "US",
            "telephone_number": "478-787-4728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Peake Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108052",
            "country_code": "US",
            "telephone_number": "478-607-2514",
            "fax_number": "478-607-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBY",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.