NPI age
9 years
Enumerated 2016-12-05
● Active
Type 1 · Individual
Jerrica Miles, PA-C
Miles is 1 of 18 physician assistant providers in Fayetteville and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
9 years
↓ 6 yr below median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-12Enumerated in NPPES
2016
2026
Where they practice
Practice location
105 Carnegie Pl Ste 103
Fayetteville, GA 302145900
Mailing address
4300 N Point Pkwy Ste 300
Alpharetta, GA 300224102
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1063956431 | N/A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.