Active NPI
Sharon A Miliner
- Massage Therapist
- Bonaire, GA
National Provider Identifier
1902415466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT006539
- Practice address
- 205A Old Perry Rd
Bonaire, GA 31005-3718 - Phone
- (478) 714-4651
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT006539 | GA | Primary |
Addresses
Primary practice location
205A Old Perry Rd
Bonaire, GA 31005-3718
Mailing address
205A Old Perry Rd
Bonaire, GA 31005-3718
Phone (478) 714-4651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT006539 | Other | GA | STATE OF GEORGIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT006539 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1902415466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205A OLD PERRY RD",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310053718",
"telephone_number": "478-714-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205A OLD PERRY RD",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310053718",
"telephone_number": "478-714-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILINER",
"first_name": "SHARON",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT006539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA",
"identifier": "MT006539",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.