Active NPI
George D. Miller, M.D.
- Specialist
- Athens, GA
National Provider Identifier
1366434664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 009564
- Practice address
- 1010 Prince Ave
Suite 186
Athens, GA 30606-5811 - Phone
- (706) 549-7108
- Fax
- (770) 381-6451
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 009564 | GA | Primary |
Addresses
Primary practice location
1010 Prince Ave
Suite 186
Athens, GA 30606-5811
Mailing address
629 Beaver Ruin Rd NW
Suite B
Lilburn, GA 30047-3401
Phone (770) 921-4322
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 |
|---|---|---|---|
| 009564 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley S Wilborn MD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Atlanta, GA
- NPI 1750554978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366434664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 BEAVER RUIN RD NW",
"address_2": "SUITE B",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473401",
"telephone_number": "770-921-4322",
"fax_number": "770-381-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PRINCE AVE",
"address_2": "SUITE 186",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065811",
"telephone_number": "706-549-7108",
"fax_number": "770-381-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GEORGE",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "009564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.