Charles Brian Miller, RN, APRN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

22175 Issued in TN

Practice address

7918 Selcer Rd
Hixson, TN 37343-1943

Phone

(423) 290-2411

NPI assigned

Dec 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA, AL3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scenic City Neurotherapy and Ketamine Center LLCGroup PAC ID 7416386941, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Scenic City Neurotherapy and Ketamine Center LLC

  dba Scenic City Neurotherapy Ketamine and TMS

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1366077539

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Anesthesia Associates of East Alabama LLC

  • Anesthesiology Physician
  • Opelika, AL
  • NPI 1245201771
  Medicare reassignment NPD
• RG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Rome, GA
  • NPI 1235553421

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1053750646

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998

  GA

  Medicare reassignment

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1376087502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N CEDAR BLUFF RD",
            "address_2": "STE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233632",
            "telephone_number": "865-342-8900",
            "fax_number": "865-691-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 SELCER RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373431943",
            "telephone_number": "423-290-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "RN, APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "185745",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "22175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Meyer, D.D.S., M.D.
• Michael R. Johnson, D.D.S., P.C.
• David Wayne Michals, LMT
• Paul David Miles III, D.C.
• Robert Keith Miles, PT, ATC/L
• Marjorie Joan Miller, PHARMD, RPH
• Rebecca Carolyn Miller, N.P.
• Mimbs Counseling LLC
• Ava C Mimbs, MS, NCC, LPC, C-DBT
• Micara Desari Minnick, BSN-RN

• Certified Registered Nurse Anesthetist in Hixson, TN
• Providers in Hixson, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.

Verify at the official NPI Registry.