Sallye Ann Miley, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R869919 Issued in MS

Practice address

9431 Eastside Drive Ext Ste E
Newton, MS 39345-8072

Phone

(601) 635-3435

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sallye Miley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: sallye.miley@phspch.eclinicaldirectplus.com
• Direct secure messaging: sallye.miley.1@17349.direct.athenahealth.com

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.

• East Central Mississippi Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, MS
  • NPI 1699721209
  NPD (past)
• East Central Mississippi Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
  • NPI 1184090482
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1619205069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GORDON ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393652121",
            "telephone_number": "601-745-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 EASTSIDE DRIVE EXT STE E",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458072",
            "telephone_number": "601-635-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEY",
        "first_name": "SALLYE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R869919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLYE",
            "last_name": "MILEY",
            "prefix": "MRS.",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hai-Van Le
• Jasica Macklin
• Amari Keonte Major, BCBA
• Meagan Nicole McMahan Chaney, CFNP
• Medicomp, Inc
• Mississippi State Department of Health
• Ms Eye Care, PA
• Janice Neal-Ross
• New Covenant Hospice East
• Newton DME and Supply

• All providers in Newton, MS
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.