Active NPI
George Emmett Miles Jr., MD, PHD
- General Practice Physician
- The Woodlands, TX
National Provider Identifier
1790084598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101241506
- Practice address
- 18 Lyreleaf PL
The Woodlands, TX 77382-1542 - Phone
- (979) 220-0663
- NPI assigned
- Mar 18, 2011
- Last updated
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 2014011291 | MO | |
| Anatomic Pathology Physician | 207ZP0101X | Q6660 | TX | |
| General Practice Physician | 208D00000X | 0101241506 | VA | Primary |
Addresses
Primary practice location
18 Lyreleaf PL
The Woodlands, TX 77382-1542
Mailing address
18 Lyreleaf PL
The Woodlands, TX 77382-1542
Phone (979) 220-0663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014011291 | MO | MD | Molecular Genetic Pathology (Pathology) Physician |
| Q6660 | TX | MD | Anatomic Pathology Physician |
| 0101241506 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1790084598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LYRELEAF PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773821542",
"telephone_number": "979-220-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LYRELEAF PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773821542",
"telephone_number": "979-220-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "GEORGE",
"middle_name": "EMMETT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "MO",
"license": "2014011291",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TX",
"license": "Q6660",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101241506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
- Michelle Peacock PHD LLC
- Lauren Taylor Michels, D.O.
- Christopher S. Midtling, DDS, MD
- Adib Rizkallah Mikhail, MD
- Brielle Marie Miles, MD
- Millennium Physicians Association PLLC (Millennium Pharmacy)
- Millennium Physicians Association, PLLC (Millennium Oncology)
- Adam David Miller, O.D.
- Andrea Miller, D.O.
- Angela Marie Miller, AGACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.