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Physician Compare National (NPI:1548556426)

HEALTHCARE PROVIDER: BARBARA JUDITH MILEY FNP-C, AGACNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1548556426
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3072791607
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110930000562
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BOROS
Individual professional last name
Provider First Name BARBARA
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NORTH ATLANTA KIDNEY SPECIALISTS
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6406857127
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 980 JOHNSON FERRY NERD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 410
Group Practice or individual's line 2 address
City ATLANTA
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 303421637
Group Practice or individual's zip code (9 digits when available)
Phone Number 4042520256
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 110161
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NORTHSIDE HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 110082
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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