Active NPI
Peter Christian Miller, M.D.
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1043430606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5315027830
- Practice address
- 1326 Eisenhower Dr
Building 1
Savannah, GA 31406-3928 - Phone
- (912) 691-4100
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5315027830 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 063099 | GA |
Addresses
Primary practice location
1326 Eisenhower Dr
Building 1
Savannah, GA 31406-3928
Mailing address
1035 Charlevoix Dr
Grand Ledge, MI 48837-2223
Phone (517) 627-2181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA1002 | Medicaid | SC | |
| 372424164A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223
Phone (517) 627-2181
4775 Village Dr
Grand Ledge, MI 48837-8107
Phone (517) 412-2240
Hospital & facility affiliations
- Edward W Sparrow Hospital
- McLaren Greater Lansing
- University of Michigan Health- Sparrow Clinton
- University of Michigan Health - Sparrow Eaton
- Sparrow Ionia Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063099 | GA | MD | Family Medicine Physician |
| 5315027830 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Smith MD PC | Family Medicine | Current | Accepting new patients |
Locations
1035 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
Phone (517) 622-6446
1035 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 324-3700
Interoperability endpoints
- petermiller@scmgllc.allscriptsdirect.net
- peter.miller@fmom.directbygreenway.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Grand Ledge, MI
- NPI 1669523650
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1043430606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 CHARLEVOIX DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372223",
"telephone_number": "517-627-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"address_2": "BUILDING 1",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PETER",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5315027830",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "063099",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1002",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372424164A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.