Individual provider Active NPI

Georgia Kaye Miller, PA-C

  • Physician Assistant
  • Michigan City, IN
National Provider Identifier
1811671589
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004149A Issued in IN
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000870 IN Practitioner - Physician Assistant 6204282676 Reassigns benefits to 1 organization

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
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

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

LicenseStateTypeSpecialty
10004149AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Oct 8, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Oct 8, 2023 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.