Individual
DR. RICHARD JOHN MIKILITUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 DIXIE ST, CARROLLTON, GA 30117-3805
(770) 832-2775
(770) 832-9529
Mailing address
524 DIXIE ST, CARROLLTON, GA 30117-3805
(770) 832-2775
(770) 832-9529
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036174792
IL
2084N0400X
Neurology Physician
Primary
040159
GA
2084N0400X
Neurology Physician
077235
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000670909A
—
GA
05
—
000670909E
—
GA
05
—
000670909F
—
GA
05
—
009602420
—
AL
01
—
1281548
UNITED HEALTHCARE
—
01
—
130011906
R X R MEDICARE
—
01
—
506390
BCBS
—
01
—
5632868
CIGNA
—
01
—
5997084
AETNA HEALTH CARE
GA
Enumeration date
01/12/2006
Last updated
09/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us