John Robert Miklos, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

040160 Issued in GA

Practice address

11975 Morris Road
Suite 140
Alpharetta, GA 30005-4493

Phone

(770) 475-4499

Fax

(877) 401-3788

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 19, 2014 through Oct 19, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)
• Urogynecology PC

  • Specialist
  • Alpharetta, GA
  • NPI 1669557559
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1982730032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054493",
            "telephone_number": "770-475-4499",
            "fax_number": "877-401-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054493",
            "telephone_number": "770-475-4499",
            "fax_number": "877-401-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy",
            "address_2": "Building C Suite 330",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053707",
            "country_code": "US",
            "telephone_number": "770-415-4499",
            "fax_number": "770-475-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "040160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00799015A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Michelotti
• Mid-South Home Care Services, LLC
• Alyssa Ealy Middleton, MS, LPC
• Deepak Midha, M.D.
• Midway Healthcare LLC
• Milestone Makers Inc
• Milestone Therapy of Georgia, LLC
• Milestone Wellness Medical LLC
• Milestones Moments LLC
• Millennium Medical Alpharetta

• Specialist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.