Active NPI
Ted J Miller, M.D.
- Family Medicine Physician
- Goodlettsville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17410
- Practice address
- 740 Conference Dr
Goodlettsville, TN 37072-1915 - Phone
- (615) 859-1440
- Fax
- (615) 859-0145
- NPI assigned
- Feb 1, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17410 | TN | Primary |
Addresses
Primary practice location
740 Conference Dr
Goodlettsville, TN 37072-1915
Mailing address
PO Box 710
Goodlettsville, TN 37070-0710
Phone (615) 859-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3023795 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Vanderbilt University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Professional Park Dr
Suite C
Goodlettsville, TN 37072-2147
Phone (615) 859-1440
450 Professional Park Dr C
Goodlettsville, TN 37072-2147
Phone (615) 859-1440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17410 | TN | MD | Family Medicine Physician |
| 17410 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Hollow Family Practice | Family Medicine | Current | Accepting new patients |
Locations
450 Professional Park Dr
Goodlettsville, TN 37072
Phone (615) 330-7059
450 Professional Park Dr
Ste E
Goodlettsville, TN 37072
Phone (615) 859-1440
450 Professional Park Dr
Ste C
Goodlettsvlle, TN 37072
Phone (615) 851-5140
740 Conference Dr
Goodlettsvlle, TN 37072
Phone (615) 851-7000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Goodlettsville, TN
- NPI 1093928707
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Hendersonville Medical Center
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- Home Health Agency
- Hendersonville, TN
- NPI 1215178512
-
- Home Health Agency
- Springfield, TN
- NPI 1255356143
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063483568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370700710",
"telephone_number": "615-859-1440",
"fax_number": "615-859-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 CONFERENCE DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721915",
"telephone_number": "615-859-1440",
"fax_number": "615-859-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TED",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD17410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3023795",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.