Jordan Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008868 Issued in GA

Practice address

600 Professional Dr Ste 120
Lawrenceville, GA 30046-7638

Phone

(770) 740-1860

Fax

(678) 347-2104

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Scott Beals DO PA

  • Procedural Dermatology Physician
  • Niceville, FL
  • NPI 1699989301
  Medicare reassignment
• ENT of Georgia, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1922046424
  NPD (past)
• Hcenti, LLC

  • Audiologist-Hearing Aid Fitter
  • Alpharetta, GA
  • NPI 1356836878
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1194201954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055211",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akisha Miller
• Cedric Andre Miller Jr.
• Debra R Miller, MD
• Emily Miller, ATC
• Jessica Lanier Miller
• Joseph H Miller, M.D.
• Kadian Miller, RN
• Kedeka Miller, RN
• Kimberly Miller
• Kristine E Miller, WHNP

• Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.