Active NPI
Stanley Lee Miller, MD
- Gastroenterology Physician
- Knoxville, TN
National Provider Identifier
1194790915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD30296
- Practice address
- 801 Weisgarber Rd
Ste 100
Knoxville, TN 37909 - Phone
- (865) 588-5121
- Fax
- (865) 588-2126
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD30296 | TN | Primary |
Addresses
Primary practice location
801 Weisgarber Rd
Ste 100
Knoxville, TN 37909
Mailing address
PO Box 59002
Knoxville, TN 37950-9002
Phone (865) 588-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3823774 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30296 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Jackson Medical Clinic LLC
- Clinic/Center
- Jackson, MS
- NPI 1548219884
-
dba Kosciusko Medical Clinic
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194790915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59002",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379509002",
"telephone_number": "865-588-5121",
"fax_number": "865-588-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WEISGARBER RD",
"address_2": "STE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-588-5121",
"fax_number": "865-588-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STANLEY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "MD30296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3823774",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.