| Miles Family Medicine, Llc | |
|
1605 Highway 34 E Suite A2 Newnan GA 30265-2191 | |
| (770) 251-2000 | |
| (678) 228-1444 |
| Full Name | Miles Family Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1605 Highway 34 E, Newnan, Georgia |
| Authorized Official Name and Position | Sean Matthew Miles (PRESIDENT) |
| Authorized Official Contact | 7702512000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Family Medicine, Llc 1605 Highway 34 E Suite A2 Newnan GA 30265-2191 Ph: (770) 251-2000 | Miles Family Medicine, Llc 1605 Highway 34 E Suite A2 Newnan GA 30265-2191 Ph: (770) 251-2000 |
| NPI Number | 1659523207 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Medicare PECOS PAC ID | 1759449226 |
|---|---|
| Medicare Enrollment ID | O20081028000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659523207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 052084 (Georgia) | Primary |
| Provider Name | Sean M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356315535 PECOS PAC ID: 9537146105 Enrollment ID: I20040701000627 |
| Provider Name | William P Fricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538165 PECOS PAC ID: 7517095235 Enrollment ID: I20100517000390 |
| Provider Name | April D Roshak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871038679 PECOS PAC ID: 2466835996 Enrollment ID: I20220817000485 |
| Provider Name | Jocelyn Jane Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730326 PECOS PAC ID: 4880951755 Enrollment ID: I20230410002269 |
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