Individual provider Active NPI

Stephen C Miller, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1003865536
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1883 Issued in TN
Practice address
921 E 3Rd St
Chattanooga, TN 37403-2102
Phone
(423) 209-8000
Fax
(423) 209-8001
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1883 TN Primary

Addresses

Primary practice location

921 E 3Rd St
Chattanooga, TN 37403-2102

Mailing address

921 E 3Rd St
Chattanooga, TN 37403-2102
Phone (423) 209-8000

Other practice location 1

7380 Volkswagon Drive
Suite 110
Chattanooga, TN 37416
Phone (423) 778-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090725000143 TN Practitioner - Family PracticePractitioner - Emergency Medicine 8921046590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of HamiltonGroup PAC ID 0446272207, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

730 E 11TH St
Chattanooga, TN 37403-3103
Phone (423) 209-5800

921 E 3Rd St
Chattanooga, TN 37403-2102
Phone (423) 209-8000

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
County of Hamilton CurrentSince Jul 6, 2022 Accepting new patients
County of Hamilton Family Medicine CurrentSince Jul 6, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Sep 24, 2014 Accepting new patients
County of Hamilton CurrentSince Jul 6, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine CurrentSince Sep 24, 2014 Accepting new patients
Lakeland Immediate Care Center Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Medicine Past Accepting new patients
County of Hamilton PastSince Mar 3, 2024 Accepting new patients
Radiology Associates of Berrien County PC Past Accepting new patients

Locations

5623 Highway 60
Birchwood, TN 37308
Phone (423) 961-0446

5625 Highway 60
Birchwood, TN 37308
Phone (423) 209-5540

730 E 11th St
Chattanooga, TN 37403
Phone (423) 209-5800

921 E 3rd St
Chattanooga, TN 37403
Phone (423) 209-8000

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

7380 Volkswagen Dr
Ste 110
Chattanooga, TN 37416
Phone (423) 778-8950

5520 High St
Ooltewah, TN 37363
Phone (423) 209-5440

9527 W Ridge Trail Rd
Soddy Daisy, TN 37379
Phone (423) 209-5490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCFCA/Endpoint/JBCFCA
  • Direct secure messaging: smiller6557@direct.erlanger.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1003865536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8000",
            "fax_number": "423-209-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8000",
            "fax_number": "423-209-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7380 Volkswagon Drive",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37416",
            "country_code": "US",
            "telephone_number": "423-778-8950",
            "fax_number": "423-778-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.