Miles Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MILES MEDICAL SUPPLIES

Practice address

1572 Highway 85 N Ste 326
Fayetteville, GA 30214-7730

Phone

(678) 673-7783

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Johnnie Miles Pool Jr.

Title

Managing Member

Phone

(678) 673-7783

Specialties & licenses 1

Addresses

Other names 1

• miles medical supplies Doing business as

Locations

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1619739646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 326",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147730",
            "telephone_number": "678-673-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 326",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147730",
            "telephone_number": "678-673-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-673-7783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "miles medical supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darien Middleton, RBT
• Donna-Lee Mighty-Moore
• Eleasa Milano, APRN
• Terri Milburn, FNP-BC
• Miles David Johnson, MD PC
• Angela Miller, FNP
• Brittney Miller, FNP-C
• Robin A. Miller, OT
• Corey Milsap, PSYD, LPC
• Mimi Cares Personal Care LLC

• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.