Individual provider Active NPI

Wayne Kurt Miller, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1063463461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07305 Issued in GA
Practice address
731 Akers Ridge Dr SE
Atlanta, GA 30339-3248
Phone
(404) 781-2225
Fax
(404) 781-2226
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07305 GA Primary

Addresses

Primary practice location

731 Akers Ridge Dr SE
Atlanta, GA 30339-3248

Mailing address

731 Akers Ridge Dr SE
Atlanta, GA 30339-3248
Phone (404) 781-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000050 GA Practitioner - Chiropractic 9739194291 Practice locations: Fayetteville, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 A Glynn St N
Fayetteville, GA 30214-1619
Phone (770) 719-1917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO07305GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paulk Chiropractic-Fayettevill Inc. Chiropractor Past Accepting new patients
Athens Chiropractic & Therapy Chiropractor Past Accepting new patients
Harry W. Brown, Inc. Chiropractor Past Accepting new patients
Arrowhead Clinic, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063463461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 AKERS RIDGE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393248",
            "telephone_number": "404-781-2225",
            "fax_number": "404-781-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 AKERS RIDGE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393248",
            "telephone_number": "404-781-2225",
            "fax_number": "404-781-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WAYNE",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.