Miller Family Practice, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

040962 Issued in GA

Legal business name

MILLER FAMILY PRACTICE, LLC.

Practice address

1818 Forsyth Street
Suite 200
Macon, GA 31201-1636

Phone

(478) 745-7878

Fax

(478) 745-1636

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Conrad N. Miller Jr., M.D.NPI 1629149430

Title

President

Phone

(478) 745-7878

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Conrad N. Miller Jr., M.D.

  • Family Medicine Physician
  • Macon, GA
  • NPI 1629149430
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073723680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28170",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218170",
            "telephone_number": "478-254-5943",
            "fax_number": "478-254-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 FORSYTH STREET",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011636",
            "telephone_number": "478-745-7878",
            "fax_number": "478-745-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY PRACTICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-745-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040962",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "GA 040963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC7439",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000684615G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Mike, NP
• Angela Yvonne Milam, RN
• Sonia R Miles, M.D.
• Kacie Milholen, FNP-C
• Brandy Lynn Miliner
• Amy Lynn Miller
• Clara Miller
• Conrad N. Miller Jr., M.D.
• Jay A Miller, P.A.
• Kyle Miller, PA

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.