Dakota Miller, FNP
Individual provider Active NPI Family Nurse Practitioner · Cordele, GA
NPI 1760020523 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1760020523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN268601 (GA)
- Practice address
- 216 Hospital Dr
Cordele, GA 31015-3275 - Phone
- (229) 457-2924
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crisp Regional Hospital Inc
Practice addresses (Care Compare)
216 Hospital Dr
Cordele, GA 31015-3275
Phone (229) 271-9330
Hospital & facility affiliations
- Crisp Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200210000713 | GA | Practitioner - Nurse Practitioner | 0648606731 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN268601 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisp Regional Hospital, Inc | Current |
Accepting new patients | |
| Crisp Regional Hospital Inc | Multi-Specialty | Current |
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
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
307 E 3rd Ave
Cordele, GA 31015
Phone (229) 271-4612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | RN268601 | GA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Cordele, GA
- Middle Flint Community Board
- Middle Flint Community Service Board
- Middle Flint Community Service Board
- Laura Anne Mihalovic
- Bridget T Milani
- Karlie Ingram Mixon
- Lashonda Nakita Monts
- Summer Morrow
- Brynn Morseman
- Rachel Jean Moss
All providers in Cordele, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.