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MR. MAURICIO ANDRES MEDINA MIELES MD
NPI 1114779113
Student in an Organized Health Care Education/Training Program in Chatsworth, GA

Active since April 03, 2024
800 GI MADDOX PARKWAY, CHATSWORTH, GA 30705(706) 686-8015(706) 686-8221 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Jul 17, 2024, Apr 3, 2024 (3 updates tracked since 2024).

About Mr. Mauricio Andres Medina Mieles Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAURICIO ANDRES MEDINA MIELES MD (NPI 1114779113) is an individual student in an organized health care education/training program in Chatsworth, Georgia, licensed in Georgia (16884) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1114779113
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MAURICIO ANDRES MEDINA MIELESCredential: MD
Location Address800 GI MADDOX PARKWAYChatsworth, GA 30705
Mailing Address1200 Memorial DriveDalton, GA 30720 · (706) 226-8996 · Fax (706) 272-6761
Phone(706) 686-8015
Fax(706) 686-8221
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
✔ NPI 1114779113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 16884
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 GI MADDOX PARKWAY, Chatsworth, GA 30705
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHIA CHI LOH MBBS
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATSWORTH, GA 30705
Murray County (706) 686-8015
MRS. VEERA THIND MD
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATSWORTH, GA 30705
Murray County (706) 686-8015
DANIEL ALVAREZ YEOMANS M.D.
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATTSWORTH, GA 30705
Murray County (706) 686-8015
DR. CHANDER PURI MBBS
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATSWORTH, GA 30705
Murray County (706) 686-8015
DR. DANIEL JOSUE VASQUEZ M.D
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATSWORTH, GA 30705
Murray County (706) 686-8015
DR. SARAH KATE GOSSETT DO
Student in an Organized Health Care Education/Training Program
800 GI MADDOX PARKWAY
CHATSWORTH, GA 30705
Murray County (706) 686-8015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Medina Mieles's NPI number?

The NPI number for Mauricio Medina Mieles is 1114779113. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Mauricio Medina Mieles located?

Mauricio Medina Mieles practices at 800 Gi Maddox Parkway, Chatsworth, GA 30705. The listed phone number is (706) 686-8015.

What is Mauricio Medina Mieles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mauricio Medina Mieles was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.