Individual provider Active NPI

Linda M Miles, MD

  • General Practice Physician
  • Mescalero, NM
National Provider Identifier
1881752970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9601005 Issued in NC
Practice address
318 Abalone Loop
Mescalero, NM 88340-0210
Phone
(505) 464-4441
Fax
(505) 464-3877
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9601005 NC Primary

Addresses

Primary practice location

318 Abalone Loop
Mescalero, NM 88340-0210

Mailing address

PO Box 210
318 Abalone Loop
Mescalero, NM 88340-0210
Phone (505) 464-4441

Other identifiers 1

IdentifierTypeStateIssuer
H2347MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910001881 NC Order and Referring Only - Family PracticePractitioner - Family Practice 1557382769

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Health Services IncGroup PAC ID 3476462102, shared by 14 NPIs, 38 clinicians

Practice addresses (Care Compare)

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

5270 Union Ridge Rd
Burlington, NC 27217-7594
Phone (336) 421-3247

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Past Accepting new patients
Jamestown Family Practice and Urgent Care, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881752970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "address_2": "318 ABALONE LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400210",
            "telephone_number": "505-464-4441",
            "fax_number": "505-464-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ABALONE LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400210",
            "telephone_number": "505-464-4441",
            "fax_number": "505-464-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9601005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H2347",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mescalero, NM

Sources for this page

Verify at the official NPI Registry.