Provider Demographics
NPI:1821155680
Name:BATES, MILLER & SIMS, PLLC
Entity Type:Organization
Organization Name:BATES, MILLER & SIMS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-365-1547
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-0330
Mailing Address - Country:US
Mailing Address - Phone:606-365-1547
Mailing Address - Fax:606-365-8380
Practice Address - Street 1:100 JAY ST
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-7511
Practice Address - Country:US
Practice Address - Phone:606-365-1547
Practice Address - Fax:606-365-8380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4393P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7890460400Medicaid
KY9696Medicare ID - Type Unspecified