Individual provider Active NPI

Mary Michael Maddox Miles, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1700539749
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1900 Issued in AL
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406001137 AL Practitioner - Physician Assistant 8022404748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
STV Cardiothoracic Surgeons LLCGroup PAC ID 7618262155, 14 clinicians
Affinity Cardio-Thoracic Specialists LLCGroup PAC ID 0547548406, 12 clinicians

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 Hospital, Birmingham, AL, CCN 010056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 1, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.