Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Michael Maddox Miles, PA-C

Individual provider Surgical Physician Assistant · NPI 1700539749

Mary Michael Maddox Miles, PA-C is a Physician Assistant in Birmingham, Alabama. Qualified in 2021, 5 years ago. Practices with Stv Cardiothoracic Surgeons LLC, a 14-clinician group. Licensed in Alabama and Colorado.

Years since qualifying
5
Licensed in
AL, CO
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4600 Highway 280 Ste 200
Birmingham, AL 35242-5186
Phone: (205) 716-6900
Fax: (205) 939-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1900 (AL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0008061 (CO)

Record details

NPI number1700539749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stv Cardiothoracic Surgeons Llc — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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