Provider Demographics
NPI:1093863516
Name:BELL, CATIE MILLER (NP)
Entity Type:Individual
Prefix:
First Name:CATIE
Middle Name:MILLER
Last Name:BELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WATERS AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-350-2700
Mailing Address - Fax:912-350-2715
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-2700
Practice Address - Fax:912-350-2715
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN116708363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000780667GMedicaid
GA000780667LMedicaid
GA000780667DMedicaid
GA000780667EMedicaid
GA528612OtherWELLCARE
GA000780667OMedicaid
GA000780667HMedicaid
GA000780667MMedicaid
GAP00955059OtherRAILROAD MEDICARE
GA541655OtherWELLCARE
GA500015254OtherRR MEDICARE
GA000780667FMedicaid
GA000780667JMedicaid
GA000780667KMedicaid
GA000780667NMedicaid
GA000780667PMedicaid
GA593866OtherWELLCARE
GA000780667IMedicaid
01309986OtherAMERIGROUP
GA593870OtherWELLCARE
GA000780667OMedicaid
GA000780667KMedicaid
GA000780667IMedicaid
GA000780667LMedicaid