Milner Vein and Vascular LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

59562 Issued in GA

Legal business name

MILNER VEIN AND VASCULAR LLC

Practice address

5700 Hillandale Dr Ste 150
Lithonia, GA 30058

Phone

(678) 580-1149

Fax

(770) 557-1347

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Patterson Milner, M.D.NPI 1558572164

Title

Medical Physician/Owner

Phone

(678) 580-1149

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Patterson Milner, M.D.

  • Vascular Surgery Physician
  • Lithonia, GA
  • NPI 1558572164

  Single Specialty

  Medicare reassignment NPD Authorized official
• Kellie Anne Coyle, M.D.

  • Specialist
  • Sandy Springs, GA
  • NPI 1336174499
  Medicare reassignment NPD

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1841789914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HILLANDALE DR STE 150",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584120",
            "telephone_number": "678-580-1149",
            "fax_number": "770-557-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HILLANDALE DR STE 150",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "678-580-1149",
            "fax_number": "770-557-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Hillandale Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300584104",
            "country_code": "US",
            "telephone_number": "678-580-1149",
            "fax_number": "770-557-1347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILNER VEIN AND VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-580-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "59562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633601408D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE NUMBER",
            "identifier": "59562",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milano Family & Marriage Counseling
• Narcisa Milbourne
• Dana Patrice Miller
• Don Miller, MA,LPC
• Sarai Marie Miller
• Carlen Milner, LCSW
• Timothy Patterson Milner, M.D.
• Miners Creek Personal Care Home
• Gloria Minta
• Joyce Davis Minter, RN, LPC

• Vascular Surgery Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.