Individual provider Active NPI

Brittney Miller, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1790464287
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248371 Issued in GA
Practice address
105 Carnegie PL Ste 103
Fayetteville, GA 30214-5900
Phone
(770) 716-7999
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248371 GA Primary

Addresses

Primary practice location

105 Carnegie PL Ste 103
Fayetteville, GA 30214-5900

Mailing address

105 Carnegie PL Ste 103
Fayetteville, GA 30214-5900
Phone (770) 716-7999

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
I20230721003401 GA Practitioner - Nurse Practitioner 9335509314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

114 E Trinity PL
Decatur, GA 30030-3302
Phone (470) 235-2832

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Nov 4, 2024 Accepting new patients
Innovative Infusions, LLC CurrentSince Nov 4, 2024 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jun 26, 2023 Accepting new patients

Locations

3060 Kimball Bridge Rd
Ste 130
Alpharetta, GA 30022
Phone (470) 235-2869

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

114 E Trinity Pl
Decatur, GA 30030
Phone (470) 235-2832

105 Carnegie Pl
Ste 103
Fayetteville, GA 30214
Phone (770) 716-7999

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

1155 Concord Rd SE
Ste 120
Smyrna, GA 30080
Phone (470) 649-3890

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1790464287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CARNEGIE PL STE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145900",
            "telephone_number": "770-716-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CARNEGIE PL STE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145900",
            "telephone_number": "770-716-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRITTNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.