JERRICA MILES (NPI# 1063956431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063956431 |
| Entity Type | Individual |
| Full Name | JERRICA MILES |
| Credential | PA-C |
| Practice Address |
1240 Eagles Landing Pkwy Ste 300 Stockbridge GA 30281-5173 |
| Mailing Address |
1046 Ridge Ave Sw Atlanta GA 30315-1640 |
| Practice Telephone | 7705064350 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8429 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 1063956431 | 01 |
| Street Address |
1240 EAGLES LANDING PKWY STE 300 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687937 | Cynthia Ellen Hunt | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2005-08-24 |
| 1558821314 | Danielle Tiffany Mcdonald | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2019-03-20 |
| 1598240269 | Kris Magpantay | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2018-09-28 |
| 1376075176 | Roger Gregory | Specialist/Technologist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2017-03-30 |
| 1093264277 | Chentiesha Latrice Cozart | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2016-09-28 |
| 1861807414 | Tobias Nikolaus Von Bergen | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2014-06-23 |
| 1013279553 | James Vincent Edwards | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2012-06-11 |
| 1649591173 | Silvana M Bishop | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2010-06-18 |
| 1952507485 | Timothy Noshi Ghattas | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2007-06-22 |
| 1215013552 | Minoo H Hollis | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2006-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033218581 | Charla V Johnson | Physician Assistant | 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281-7343 | 2006-09-21 |
| 1477540946 | Tonya Michelle Ogletree | Physician Assistant | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2005-09-30 |
| 1972068633 | Christopher Yegge | Physician Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-02-07 |
| 1598240269 | Kris Magpantay | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2018-09-28 |
| 1932649902 | Rebekah Worley | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2017-02-24 |
| 1225420938 | Nguyen Ngoc Thi Vu | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2015-03-04 |
| 1023415528 | Michael C. Martin | Physician Assistant | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2014-11-26 |
| 1225476492 | Monica Sohani | Physician Assistant | 210 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2013-06-11 |
| 1245579572 | David Didier | Physician Assistant | 290 Country Club Dr, 200, Stockbridge, GA 30281-9069 | 2013-02-06 |
| 1831453570 | Shannon Lynn Pearce | Physician Assistant | 830 Eagles Landing Pkwy, Stockbridge, GA 30281-7366 | 2012-06-27 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.