Organization Active NPI

John E Miller MD PC

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1114143765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MDO20155 Issued in TN
Legal business name
JOHN E MILLER MD PC
Practice address
1949 Gunbarrel Rd
Suite 150
Chattanooga, TN 37421-3188
Phone
(423) 296-0022
Fax
(423) 296-0025
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Edwin Miller, M.D.NPI 1336159946
Title
President
Phone
(423) 296-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MDO20155 TN Primary

Addresses

Primary practice location

1949 Gunbarrel Rd
Suite 150
Chattanooga, TN 37421-3188

Mailing address

1949 Gunbarrel Rd
Suite 150
Chattanooga, TN 37421-3188
Phone (423) 296-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000564 TN Part B Supplier - Clinic/Group Practice 8426120684 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jmiller@millermd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 150",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-296-0022",
            "fax_number": "423-296-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 150",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-296-0022",
            "fax_number": "423-296-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-296-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MDO20155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.