Individual provider Active NPI

Katherine Erika Milbury, DO

  • Pediatrics Physician
  • Fort Stewart, GA
National Provider Identifier
1619334539
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1691 Issued in NE
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-5687
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 34016943 OH
Pediatrics Physician 208000000X 34016943 OH
Pediatrics Physician 208000000X 1691 NE Primary

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

Winn Army Hospital
1061 Harmon Ave
Ft. Stewar, GA 31314
Phone (912) 435-5687

Other practice location 1

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-5000

Other identifiers 1

IdentifierTypeStateIssuer
0035565MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230921002146 FL Practitioner - Pediatric Medicine 0941654149 Reassigns benefits to 2 organizations
I20240329000454 GA Practitioner - Pediatric Medicine 0941654149 Reassigns benefits to 2 organizations
I20241104001509 SC Practitioner - Pediatric Medicine 0941654149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34016943OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC Hospitalist CurrentSince Mar 1, 2024 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince Sep 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA Hospitalist CurrentSince Sep 1, 2023 Accepting new patients
Southeastern Hospitalist Services PC Hospitalist CurrentSince Oct 29, 2024 Accepting new patients
Vidalia Health Services, LLC Past Accepting new patients
Hospital Authority of Liberty County Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 7

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1619334539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WINN ARMY HOSPITAL",
            "address_2": "1061 HARMON AVE",
            "city": "FT. STEWAR",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2951 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011406",
            "country_code": "US",
            "telephone_number": "740-454-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURY",
        "first_name": "KATHERINE",
        "middle_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34016943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34016943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.