Individual provider Active NPI

Jule P Miller III, M.D.

  • Child & Adolescent Psychiatry Physician
  • Biloxi, MS
National Provider Identifier
1073533196
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
13492 Issued in MS
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

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00236002MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002611 MS Practitioner - Psychiatry 8628319472 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13492MSMDPsychiatry Physician
36806MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Painstop Spine Clinic, LLC CurrentSince Sep 6, 2024 Accepting new patients
TBD Acquisition II, LLC CurrentSince Mar 2, 2025 Accepting new patients
TBD Acquisition II LLC CurrentSince Mar 2, 2025 Accepting new patients
Painstop Spine Clinic, LLC CurrentSince Sep 6, 2024 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.

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

Verify at the official NPI Registry.