Individual provider Active NPI

Taniqua A Miller, MD

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1073780193
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
068245 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 750
Decatur, GA 30030-2495
Phone
(470) 529-1562
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 068245 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 750
Decatur, GA 30030-2495

Mailing address

315 W Ponce de Leon Ave Ste 750
Decatur, GA 30030-2495
Phone (470) 529-1562

Other practice location 1

6095 Professional Pkwy Ste A210
Douglasville, GA 30134-5611
Phone (770) 949-4188

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hello@joinrevival.co Direct
Direct Messaging Address TMILLER528362@DIRECTWELLSTAR.ORG

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121129000553 GA Practitioner - Obstetrics/Gynecology 1153573944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068245GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 2, 2023 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 1, 2012 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 2, 2023 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1365 Clifton Rd NE
Fl 4
Atlanta, GA 30322
Phone (404) 778-2010

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

6095 Professional Pkwy
Ste A210
Douglasville, GA 30134
Phone (770) 949-4188

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • Direct secure messaging: tmiller528362@directwellstar.org
  • Direct secure messaging: tmiller21803@direct.emory.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1073780193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302495",
            "telephone_number": "470-529-1562",
            "fax_number": "470-275-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302495",
            "telephone_number": "470-529-1562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6095 Professional Pkwy Ste A210",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345611",
            "country_code": "US",
            "telephone_number": "770-949-4188",
            "fax_number": "770-949-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TANIQUA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "068245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@joinrevival.co",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 W Ponce De Leon Ave Ste 750",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300302495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TMILLER528362@DIRECTWELLSTAR.ORG",
            "affiliation": "N",
            "address_1": "6095 Professional Pkwy Ste A210",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301345611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.