Individual provider Active NPI

Dakota Miller, FNP

  • Family Nurse Practitioner
  • Cordele, GA
National Provider Identifier
1760020523
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN268601 Issued in GA
Practice address
216 Hospital Dr
Cordele, GA 31015-3275
Phone
(229) 457-2924
NPI assigned
Dec 11, 2019
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN268601 GA Primary

Addresses

Primary practice location

216 Hospital Dr
Cordele, GA 31015-3275

Mailing address

307 E 3Rd Ave
Cordele, GA 31015-3208
Phone (229) 271-4656

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dmiller@crispregional.org Health Information Exchange (HIE)
CONNECT URL dmiller@crispregional.org Health Information Exchange (HIE)
Direct Messaging Address dmiller@crispregional.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200210000713 GA Practitioner - Nurse Practitioner 0648606731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

216 Hospital Dr
Cordele, GA 31015-3275
Phone (229) 271-9330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN268601GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince Dec 20, 2019 Accepting new patients
Crisp Regional Hospital Inc Multi-Specialty CurrentSince Dec 20, 2019 Accepting new patients

Locations

1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000

216 Hospital Dr
Cordele, GA 31015
Phone (229) 271-9330

307 E 3rd Ave
Cordele, GA 31015
Phone (229) 271-4612

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

Interoperability endpoints

  • Direct secure messaging: dmiller@crispregional.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1760020523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 3RD AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153208",
            "telephone_number": "229-271-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HOSPITAL DR",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153275",
            "telephone_number": "229-457-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAKOTA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN268601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmiller@crispregional.org",
            "affiliation": "N",
            "endpointDescription": "dmiller@crispregional.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dmiller@crispregional.org",
            "address_1": "216 Hospital Dr",
            "city": "Cordele",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310153275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dmiller@crispregional.org",
            "affiliation": "N",
            "endpointDescription": "dmiller@crispregional.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 Hospital Dr",
            "city": "Cordele",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310153275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmiller@crispregional.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 Hospital Dr",
            "city": "Cordele",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310153275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.