Miles Family Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

052084 Issued in GA

Legal business name

MILES FAMILY MEDICINE, LLC

Practice address

1605 Highway 34 E
Suite A2
Newnan, GA 30265-2191

Phone

(770) 251-2000

Fax

(678) 228-1444

NPI assigned

Oct 15, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Matthew Miles, MDNPI 1356315535

Title

President

Phone

(770) 251-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean M Miles, MD

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1356315535
  Medicare reassignment Care Compare group NPD Authorized official
• William P Fricks, MD

  • Family Medicine Physician
  • Albany, GA
  • NPI 1376538165
  Medicare reassignment Care Compare group NPD
• April Davis Roshak, FNP

  • Family Nurse Practitioner
  • Peachtree City, GA
  • NPI 1871038679
  Medicare reassignment NPD
• Jocelyn Jane Carver, NP

  • Primary Care Nurse Practitioner
  • Littleton, CO
  • NPI 1144730326

  GA

  Medicare reassignment NPD
• Erin McLean Price, PA-C

  • Physician Assistant
  • Newnan, GA
  • NPI 1346547569
  Medicare reassignment
• Erin De Los Reyes, NP-C, APRN

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1174992192
  NPD (past)

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1659523207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "SUITE A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000",
            "fax_number": "678-228-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HIGHWAY 34 E",
            "address_2": "SUITE A2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652191",
            "telephone_number": "770-251-2000",
            "fax_number": "678-228-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-251-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "052084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stellamaris Nyambura Michuki, FNP
• Heidi Middendorf, RBT
• Alison L Middleton, NNP, MSN
• Mighty Oaks ABA Services LLC
• Mikala a Legako PSYD Psych SVC
• Brianna Nicole Miles, MD
• Sean M Miles, MD
• Cynthia Miller
• Eugenia Andrea Miller, CPS-MH
• Lauren L. Miller, MD

• Primary Care Clinic/Center in Newnan, GA
• Providers in Newnan, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.