Individual provider Active NPI

George Maurice Miller Jr., MD

  • Surgery Physician
  • Marengo, IA
National Provider Identifier
1285637835
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17647 Issued in MS
Practice address
300 W May St
Marengo, IA 52301-1261
Phone
(319) 642-5543
Fax
(319) 642-8007
NPI assigned
May 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17647 MS Primary

Addresses

Primary practice location

300 W May St
Marengo, IA 52301-1261

Mailing address

300 W May St
Marengo, IA 52301-1261
Phone (319) 642-5543

Other identifiers 1

IdentifierTypeStateIssuer
00126246MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080718000400 MS Practitioner - General Surgery 1254404502 Reassigns benefits to 1 organization
I20170712000487 IA Practitioner - General Surgery 1254404502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marengo Memorial HospitalGroup PAC ID 0749199446, 37 clinicians

Practice addresses (Care Compare)

300 W May St
Marengo, IA 52301-1261
Phone 31964255438068

498 N Highland St
Williamsburg, IA 52361-9695
Phone 31964255438068

502 N 9TH Ave
Vinton, IA 52349-2254
Phone 31964255438068

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 19, 2014 Accepting new patients
Marengo Memorial Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 19, 2014 Accepting new patients
Marengo Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Marengo Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Marengo Memorial Hospital Past Accepting new patients

Locations

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

498 N Highland St
Williamsburg, IA 52361
Phone (319) 642-8068

1300 Sunset Dr
Ste R
Grenada, MS 38901
Phone (662) 226-7540

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

Interoperability endpoints

  • Direct secure messaging: gmiller517662@direct.unitypoint.org
  • Direct secure messaging: ummcgrenadaspecialty-clinicsdrmiller@ummcg.e-mdsdirect.com

Organizations & group practices 8

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285637835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAY ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011261",
            "telephone_number": "319-642-5543",
            "fax_number": "319-642-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAY ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011261",
            "telephone_number": "319-642-5543",
            "fax_number": "319-642-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GEORGE",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "17647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126246",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, IA

Sources for this page

Verify at the official NPI Registry.