Organization Active NPI

Sheli Milam MD PA

  • Specialist
  • Ocean Springs, MS
National Provider Identifier
1659787166
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16922 Issued in MS
Legal business name
SHELI MILAM MD PA
Practice address
1001 N Halstead Rd
Ocean Springs, MS 39564-3121
Phone
(228) 861-8658
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Sheli Milam
Title
Owner
Phone
(228) 861-8658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 16922 MS Primary

Addresses

Primary practice location

1001 N Halstead Rd
Ocean Springs, MS 39564-3121

Mailing address

1001 N Halstead Rd
Ocean Springs, MS 39564-3121
Phone (228) 861-8658

Other identifiers 1

IdentifierTypeStateIssuer
01336372MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000870 MS Part B Supplier - Clinic/Group Practice 7214152974 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean Springs, MS

National Provider Directory

National Provider Directory
Tax ID family
Sheli Milam MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 N Halstead Rd
Ocean Springs, MS 39564
Phone (228) 818-0416

1001 N Halstead Rd
#B
Ocean Springs, MS 39564
Phone (228) 818-0416

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1659787166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N HALSTEAD RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643121",
            "telephone_number": "228-861-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N HALSTEAD RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643121",
            "telephone_number": "228-861-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELI MILAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "SHELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-861-8658"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "16922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01336372",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.