Andre Miller

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

NTP001004 Issued in GA

Practice address

2357 Tobacco Rd
Augusta, GA 30906-9220

Phone

(706) 722-3855

Fax

(706) 798-3795

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1295388965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 TOBACCO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069220",
            "telephone_number": "706-722-3855",
            "fax_number": "706-798-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 TOBACCO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069220",
            "telephone_number": "706-722-3855",
            "fax_number": "706-798-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "NTP001004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUGUSTA METRO TREATMENT CENTER",
            "identifier": "NTP001004",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andre.Miller@cmglp.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Augusta",
            "address_1": "2357 Tobacco Rd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Paul Milgrom, M.D.
• Robert Evan Milhous, D.C.
• James L Millen, MD
• Miller Drug LLC
• Miller Drug LLC
• Andre Dwayne Miller, M.D.
• Aubrey Neal Miller, PHARM D
• Brian J. Miller, M.D.
• Carla MB Miller, MD
• Catrina Patrice Miller, MSW

• Addiction (Substance Use Disorder) Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.