Individual provider Active NPI

David Lynn Miller Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1205060878
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME115349 Issued in FL
Practice address
3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785
Phone
(904) 384-3699
Fax
(904) 384-8529
NPI assigned
May 11, 2009
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME115349 FL Primary

Addresses

Primary practice location

3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

2363 Dunn Ave
Jacksonville, FL 32218-4695
Phone (904) 757-2234

Other identifiers 1

IdentifierTypeStateIssuer
008866400MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000486 FL Practitioner - Obstetrics/Gynecology 0345481263 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1232 King St
Jacksonville, FL 32204-4212
Phone (904) 821-7556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115349FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
St Vincents Medical Center Inc CurrentSince Sep 1, 2014 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 13, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince May 25, 2021 Accepting new patients
St Vincents Medical Center Inc CurrentSince Sep 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc Obstetrics & Gynecology CurrentSince Jan 13, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 13, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 13, 2020 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1232 King St
Jacksonville, FL 32204
Phone (904) 384-3699

2363 Dunn Ave
Jacksonville, FL 32218
Phone (904) 751-6030

2363 Dunn Ave
Ste 2363
Jacksonville, FL 32218

2363 Dunn Ave
Ste 23631
Jacksonville, FL 32218
Phone (904) 757-2234

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

3 Shircliff Way
Ste 200
Jacksonville, FL 32204
Phone (904) 308-6463

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1680 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 264-9555

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: dmiller37503@direct.shands.ufl.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1205060878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044785",
            "telephone_number": "904-384-3699",
            "fax_number": "904-384-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2363 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184695",
            "country_code": "US",
            "telephone_number": "904-757-2234",
            "fax_number": "904-757-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME115349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008866400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.