DR. MILES ANTHONY MEDINA (NPI# 1437690658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437690658 |
| Entity Type | Individual |
| Full Name | DR. MILES ANTHONY MEDINA |
| Credential | D.O. |
| Practice Address |
1133 Eagles Landing Pkwy # Er Stockbridge GA 30281-5085 |
| Mailing Address |
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085 |
| Practice Telephone | 6786041000 |
| Mailing Telephone | 6786041000 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 85502 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1133 EAGLES LANDING PKWY # ER |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5085 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956665 | Jeffery Ray Mcgee | Emergency Medicine | 1740 Hudson Bridge Rd, Suite 1218, Stockbridge, GA 30281-6331 | 2005-07-19 |
| 1588011662 | Fahad Khan | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2016-05-19 |
| 1366896409 | Pierre Des Anges | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2016-04-14 |
| 1467816272 | Juan Nieto | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2016-04-07 |
| 1598150971 | Shayla C Freeman | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2015-04-01 |
| 1215377726 | Ajala Osagie Ngarndi | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2013-06-28 |
| 1134461064 | Yaa Manu | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2013-03-18 |
| 1508071051 | Tasha Kynece Feaster | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2007-05-10 |
| 1679592257 | Woody J Francis | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-07-18 |
| 1932146701 | Joe W Bateman | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-06-01 |
| 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.