Active NPI
Jule P Miller III, M.D.
- Child & Adolescent Psychiatry Physician
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 13492
- Practice address
- 983 Howard Ave
Biloxi, MS 39530-3756 - Phone
- (228) 435-4400
- Fax
- (228) 435-4400
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13492 | MS | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 36806 | MO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 13492 | MS | Primary |
Addresses
Primary practice location
983 Howard Ave
Biloxi, MS 39530-3756
Mailing address
983 Howard Ave
Biloxi, MS 39530-3756
Phone (228) 435-4400
Other practice location 1
1628 Oklahoma Ave
Trenton, MO 64683-2565
Phone (660) 359-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00236002 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13492 | MS | MD | Psychiatry Physician |
| 36806 | MO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Painstop Spine Clinic, LLC | Current | Accepting new patients | |
| TBD Acquisition II, LLC | Current | Accepting new patients | |
| TBD Acquisition II LLC | Current | Accepting new patients | |
| Painstop Spine Clinic, LLC | Current | Accepting new patients | |
| Seacoast Psycholocial Associates, Inc. | Past | Accepting new patients |
Locations
180B Debuys Rd
Biloxi, MS 39531
Phone (228) 273-4096
11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000
3003 Shortcut Rd
Pascagoula, MS 39567
Phone (228) 273-4096
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Biloxi, MS
- NPI 1063715746
-
dba Gulfport Behavioral Health System
- Psychiatric Hospital
- Gulfport, MS
- NPI 1750891792
-
- Interventional Pain Medicine Physician
- Pascagoula, MS
- NPI 1558666149
-
dba Gulfport Behavioral Health System
- Clinical Social Worker
- Gulfport, MS
- NPI 1003324419
-
- Clinical Social Worker
- Biloxi, MS
- NPI 1710107438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1073533196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 HOWARD AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395303756",
"telephone_number": "228-435-4400",
"fax_number": "228-435-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 HOWARD AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395303756",
"telephone_number": "228-435-4400",
"fax_number": "228-435-4400"
}
],
"practiceLocations": [
{
"address_1": "1628 Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MO",
"postal_code": "646832565",
"country_code": "US",
"telephone_number": "660-359-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JULE",
"middle_name": "P",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "13492",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "36806",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MS",
"license": "13492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00236002",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.