Active NPI
Douglas Christian Miller, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Monroe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 063268
- Practice address
- 2151 W Spring St Ste B120
Monroe, GA 30655-3210 - Phone
- (770) 207-0215
- Fax
- (678) 635-8963
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 3776 | OK | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 063268 | GA | Primary |
Addresses
Primary practice location
2151 W Spring St Ste B120
Monroe, GA 30655-3210
Mailing address
2151-B West Spring Street
Suite 120
Monroe, GA 30655
Phone (770) 207-0215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Otolaryngology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
2151 W Spring St
Monroe, GA 30655-3202
Phone (770) 267-8461
Hospital & facility affiliations
- Piedmont Walton Hospital
- Piedmont Athens Regional Medical Center
- Piedmont Newton Hospital
- Piedmont Eastside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063268 | GA | MD | Otolaryngology/Facial Plastic Surgery Physician |
| 3776 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Fairfax Healthcare Properties,L.L.C. | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
3869 Highway 81
#B
Loganville, GA 30052
Phone (770) 266-6252
2151 W Spring St
Ste 120
Monroe, GA 30655
2151 W Spring St
Ste B120
Monroe, GA 30655
Phone (770) 207-0215
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
dba Fairfax Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Fairfax, OK
- NPI 1922143098
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Eastside Medical Center
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1073596193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151-B WEST SPRING STREET",
"address_2": "SUITE 120",
"city": "MONROE",
"state": "GA",
"postal_code": "30655",
"telephone_number": "770-207-0215",
"fax_number": "678-635-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 W SPRING ST STE B120",
"city": "MONROE",
"state": "GA",
"postal_code": "306553210",
"telephone_number": "770-207-0215",
"fax_number": "678-635-8963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DOUGLAS",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "OK",
"license": "3776",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "GA",
"license": "063268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
- Medlink Georgia Inc
- Angela Dawn Meeks, NP
- James Townsend Merwin IV, PT, DPT
- MH Health Care Services, PC
- Michael D Hughes, DC, PC (Burson Chiropractic Clinic)
- Larry J Miller, D.M.D.
- Mandy Michelle Miller, MS, MSW, LCSW
- Marci Ann Miller, MS, APRN, NP-C
- Misty Sue's Adult Day Health Center LLC
- Aundre R. Mitchell, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.