Active NPI
Timothy W Miller, AA-C
- Anesthesiologist Assistant
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA753
- Practice address
- 3100 Kemble Ave
Brunswick, GA 31520-4211 - Phone
- (912) 264-2929
- NPI assigned
- Oct 23, 2008
- Last updated
- Mar 13, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1821 | GA | |
| Anesthesiologist Assistant | 367H00000X | AA753 | FL | Primary |
Addresses
Primary practice location
3100 Kemble Ave
Brunswick, GA 31520-4211
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005472 | GA | MD | Professional Counselor |
| 1821 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Anesthesiologist Assistant | Past | Accepting new patients |
Locations
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
888 Pine St
Macon, GA 31201
Phone (478) 751-0527
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Anesthesiologist Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1235382185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235019",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235019",
"telephone_number": "334-279-1450",
"fax_number": "334-395-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 KEMBLE AVE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204211",
"telephone_number": "912-264-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TIMOTHY",
"middle_name": "W",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "1821",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.