Active NPI
Garland Dupree Miller, MD
- Primary Care Clinic/Center
- Zwolle, LA
National Provider Identifier
1144338088
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- LA16359
- Practice address
- 2114 Obrie Street
Zwolle, LA 71486 - Phone
- (318) 645-4484
- Fax
- (318) 645-9139
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | LA16359 | LA | Primary |
Addresses
Primary practice location
2114 Obrie Street
Zwolle, LA 71486
Mailing address
PO Box 1068
2114 Obrie Street
Zwolle, LA 71486
Phone (318) 645-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321702 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA16359 | LA | MD | Primary Care Clinic/Center |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Zwolle, LA
- NPI 1124149307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144338088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1068",
"address_2": "2114 OBRIE STREET",
"city": "ZWOLLE",
"state": "LA",
"postal_code": "71486",
"telephone_number": "318-645-4484",
"fax_number": "318-645-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 OBRIE STREET",
"city": "ZWOLLE",
"state": "LA",
"postal_code": "71486",
"telephone_number": "318-645-4484",
"fax_number": "318-645-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GARLAND",
"middle_name": "DUPREE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "LA",
"license": "LA16359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1321702",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zwolle, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.