Active NPI
Kayla Nicole Miller, MD
- Family Medicine Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 73105-20
- Practice address
- 557 N Washington St
Janesville, WI 53548-2907 - Phone
- (608) 754-6000
- Fax
- (608) 755-7892
- NPI assigned
- Jul 24, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 98329 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 7186-851 | WI | |
| Family Medicine Physician | 207Q00000X | 73105-20 | WI | Primary |
Addresses
Primary practice location
557 N Washington St
Janesville, WI 53548-2907
Mailing address
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 754-6000
Other practice location 1
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Other practice location 2
470 Northside Cherokee Blvd Ste 380
Canton, GA 30115-8031
Phone (770) 721-9250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760969554 | Medicaid | WI | |
| 1760969554 | Other | WI | BCBSWI |
| K400668833 | Other | WI | WI MEDICARE |
| 1171 | Other | WI | MERCYCARE INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535
Hospital & facility affiliations
- Amedisys Northwest Home Health
- Centerwell Home Health
- Northside Hospital Cherokee
- Piedmont Mountainside Hospital Inc
- Wellstar Windy Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98329 | GA | MD | Sports Medicine (Family Medicine) Physician |
| 7186-851 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Medical Associates Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Northside Primary Care Professional Services,LLC | Family Medicine | Past | Accepting new patients |
Locations
470 Valley St
Ste 200
Ball Ground, GA 30107
Phone (678) 454-6800
470 Northside Cherokee Blvd
Ste 380
Canton, GA 30115
Phone (770) 721-9250
320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535
1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
557 N Washington St
Janesville, WI 53548
Phone (608) 754-6000
849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Canton, GA
- NPI 1083041867
Family Medicine
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jasper, GA
- NPI 1588612188
-
- Home Health Agency
- Cumming, GA
- NPI 1306873849
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1760969554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
}
],
"practiceLocations": [
{
"address_1": "849 Kellogg Ave",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462808",
"country_code": "US",
"telephone_number": "608-755-7960",
"fax_number": "608-755-7873",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 Northside Cherokee Blvd Ste 380",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158031",
"country_code": "US",
"telephone_number": "770-721-9250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KAYLA",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "98329",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "7186-851",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "73105-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760969554",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSWI",
"identifier": "1760969554",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI MEDICARE",
"identifier": "K400668833",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "1171",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.