MILAN JOHNSON WADE CPNP
NPI 1174024780
Nurse Practitioner - Pediatrics in Dawsonville, GA
About Milan Johnson Wade Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILAN JOHNSON WADE CPNP (NPI 1174024780) is an individual pediatrics provider in Dawsonville, Georgia, licensed in Georgia (RN234027) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Woodstock.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Milan Johnson Wade Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Milan Johnson Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Milan Johnson Wade's NPI number?
The NPI number for Milan Johnson Wade is 1174024780. It was assigned to this individual provider in the NPPES registry on February 28, 2018.
Where is Milan Johnson Wade located?
Milan Johnson Wade practices at 5959 Highway 53 E Ste 100, Dawsonville, GA 30534. The listed phone number is (706) 381-6125.
What is Milan Johnson Wade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Milan Johnson Wade enrolled in Medicare?
Yes. Milan Johnson Wade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Milan Johnson Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Milan Johnson Wade reassigns Medicare benefits to Northside Primary Care Professional Services, LLC (Dawsonville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Milan Johnson Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Milan Johnson Wade accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Milan Johnson Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Milan Johnson Wade was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Milan Johnson Wade, CPNP · NPI 1174024780
Pediatrics physician in Dawsonville, Georgia. Individual provider, active in the CMS NPPES registry since February 28, 2018.
## Identity
- **NPI:** 1174024780 (Entity type: Individual)
- **Enumerated:** February 28, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN234027 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5959 HIGHWAY 53 E STE 100, Dawsonville, GA 30534-6288
- **Phone:** (706) 381-6125 · **Fax:** (706) 531-0075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2023
- **Other identifiers:** Medicaid 003202448A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174024780) · Data from the CMS NPPES public registry.