Kelley Miller, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN175982 Issued in GA

Practice address

210 Oak St
Martinez, GA 30907-5139

Phone

(706) 855-1755

Fax

(706) 863-2587

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Martinez Urgent Care

  • Urgent Care Clinic/Center
  • Martinez, GA
  • NPI 1184810822
  Medicare reassignment NPD
• Hospital Authority of Jefferson County and the City of Louisville

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1639540297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OAK ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075139",
            "telephone_number": "706-855-1755",
            "fax_number": "706-863-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OAK ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075139",
            "telephone_number": "706-855-1755",
            "fax_number": "706-863-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175982",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN15071449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Mendez
• Mental Space LLC
• Anupama A Mikkilineni, RPH
• Fredicia Miles
• Donovan Emmanuel Allen Miller
• Rashaka Miller
• Sabrina Miller, PHLEBOTOMIST TECH
• Stephanie Miller, PT, DPT
• Jaiyviah Mills
• Jin Ki Min

• Family Nurse Practitioner in Martinez, GA
• Providers in Martinez, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.