Organization Active NPI

Kristin Miller Obstetrics & Gynecology PLC

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1033375332
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC
Practice address
6750 Poplar Ave
Suite 210
Memphis, TN 38138-7438
Phone
(901) 756-6522
Fax
(901) 435-0928
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Kristin M Miller, MDNPI 1003815283
Title
Owner
Phone
(901) 756-6522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6750 Poplar Ave
Suite 210
Memphis, TN 38138-7438

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081002000384 TN Part B Supplier - Clinic/Group Practice 3274601398 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1088155Kristin Miller Obstetrics & Gynecology PLC6750 Poplar Ave Suite 210, Germantown, TN 38138Provider-performed microscopyAug 17, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19531/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1033375332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 POPLAR AVE",
            "address_2": "SUITE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387438",
            "telephone_number": "901-756-6522",
            "fax_number": "901-435-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-756-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.