Active NPI
Georgia Kaye Miller, PA-C
- Physician Assistant
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10004149A
- Practice address
- 1225 E Coolspring Ave Ste 200
Michigan City, IN 46360-6312 - Phone
- (219) 861-8161
- Fax
- (219) 873-9504
- NPI assigned
- Jun 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10004149A | IN | Primary |
Addresses
Primary practice location
1225 E Coolspring Ave Ste 200
Michigan City, IN 46360-6312
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 E Coolspring Ave
Michigan City, IN 46360-6312
150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904
1704 Lafayette Rd
Crawfordsville, IN 47933-1071
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
3500 N Franciscan Way
Suite 400
Michigan City, IN 46360-0021
Phone (219) 861-5539
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10004149A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Past | Accepting new patients |
Locations
770 Indian Boundary Rd
Ste 202
Chesterton, IN 46304
Phone (219) 921-2000
770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1225 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 873-2919
1225 E Coolspring Ave
#200
Michigan City, IN 46360
Phone (219) 324-8860
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
1225 E Coolspring Ave
Ste 200
Michigan City, IN 46360
Phone (219) 861-8161
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Physical Therapist
- Chesterton, IN
- NPI 1467608687
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1366879009
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1811671589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E COOLSPRING AVE STE 200",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463606312",
"telephone_number": "219-861-8161",
"fax_number": "219-873-9504"
}
],
"practiceLocations": [
{
"address_1": "770 Indian Boundary Rd",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463041519",
"country_code": "US",
"telephone_number": "219-921-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "GEORGIA",
"middle_name": "KAYE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004149A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.