Active NPI
Mary Michael Maddox Miles, PA-C
- Physician Assistant
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.1900
- Practice address
- 4600 Highway 280 Ste 200
Birmingham, AL 35242-5186 - Phone
- (205) 716-6900
- Fax
- (205) 939-0242
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.0008061 | CO | |
| Physician Assistant | 363A00000X | PA.1900 | AL | Primary |
Addresses
Primary practice location
4600 Highway 280 Ste 200
Birmingham, AL 35242-5186
Mailing address
4200 Colonnade Pkwy
Birmingham, AL 35243-2342
Phone (205) 971-7613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
2871 Acton Rd
Suite 100
Vestavia, AL 35243-2560
Phone (205) 716-6900
3056 Healthy Way
Suite 100
Birmingham, AL 35243-2435
Phone (205) 930-2925
800 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1629
Phone (205) 939-7274
Hospital & facility affiliations
- St Vincent'S Birmingham
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Womens Health Specialists of Birmingham Inc | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
Interoperability endpoints
- https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
- mary.miles.1@9069.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Vestavia, AL
- NPI 1366895674
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Birmingham, AL
- NPI 1649624255
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1619226370
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1700539749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 COLONNADE PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432342",
"telephone_number": "205-971-7613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 HIGHWAY 280 STE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425186",
"telephone_number": "205-716-6900",
"fax_number": "205-939-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "MARY MICHAEL",
"middle_name": "MADDOX",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0008061",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
- 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.