Individual provider Active NPI

John Paul Miller, MD

  • Dermatology Physician
  • Shreveport, LA
National Provider Identifier
1124588140
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
327200 Issued in LA
Practice address
8730 Youree Dr Ste a-B
Shreveport, LA 71115-2500
Phone
(318) 408-1505
Fax
(318) 408-1506
NPI assigned
Mar 25, 2019
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 327200 LA Primary

Addresses

Primary practice location

8730 Youree Dr Ste a-B
Shreveport, LA 71115-2500

Mailing address

8730 Youree Dr Ste a-B
Shreveport, LA 71115-2500
Phone (318) 408-1505

Other practice location 1

105 Dr Michael Debakey Dr
Lake Charles, LA 70601-5950
Phone (337) 240-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240617002345 LA Practitioner - DermatologyPractitioner - Pathology 2264767359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shondra L. Smith, MDGroup PAC ID 9436113487, 4 clinicians
Dermatology Clinic a Professional Medical CorporationGroup PAC ID 6103856661, 13 clinicians

Practice addresses (Care Compare)

105 Dr Michael Debakey Dr
Lake Charles, LA 70601-5950
Phone (337) 240-6183

3635 Nelson Rd
Dermatology and Advanced Aesthetics
Lake Charles, LA 70605-1213
Phone (337) 477-0011

5326 O Donovan Dr
Baton Rouge, LA 70808-4691

5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone (225) 769-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
84.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision115
Removal of skin lesions265
Removal or shaving of skin growth16
Skin biopsy85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
LCD Clinic LLC Dermatology Current Accepting new patients
Dermatology Clinic a Professional Medical Corporation Dermatology CurrentSince Jul 1, 2024 Accepting new patients

Locations

5326 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 768-2850

105 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 240-6183

3635 Nelson Rd
Lake Charles, LA 70605
Phone (337) 477-0011

5000 Odonavan Blvd
Ste 315
Walker, LA 70785
Phone (225) 769-7546

Interoperability endpoints

  • Direct secure messaging: jpmiller@smith.emadirect.md

Organizations & group practices 3

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1124588140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DR STE A-B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152500",
            "telephone_number": "318-408-1505",
            "fax_number": "318-408-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DR STE A-B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152500",
            "telephone_number": "318-408-1505",
            "fax_number": "318-408-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 DR MICHAEL DEBAKEY DR",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015950",
            "country_code": "US",
            "telephone_number": "337-240-6183",
            "fax_number": "337-388-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "327200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.