KATHRYN LISA MILLER (NNP-BC) – Critical Care Neonatal Nurse Practitioner, NPI 1629345798
Critical Care Neonatal Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATHRYN LISA MILLER (NNP-BC)
1400 River Pl
Braselton, GA 305175600
Phone: (770) 535-3611
Fax: (770) 535-7092
Type: Location
101 W PONCE DE LEON AVE
#242
DECATUR, GA 300302542
Phone: (404) 778-7622
Fax: (404) 778-7690
Type: Mailing
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 535-3611
Fax: (770) 535-7092
Type: Location
101 W Ponce De Leon Ave
#242
Decatur, GA 300302542
Phone: (404) 778-7622
Fax: (404) 778-7690
Type: Location
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (707) 533-6511
Fax: (770) 533-4786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: ABBVIE INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120208000855 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30517)
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Reviews
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