Samuel Jones Miller III, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

021551 Issued in GA

Practice address

1602 Vernon Rd
Suite 200
Lagrange, GA 30240-4129

Phone

(706) 884-6026

Fax

(706) 884-0433

NPI assigned

Oct 12, 2006

Last updated

Feb 13, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.miller@westgahealth.gadirect.net

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Au Medical Associates Inc

  dba Augusta University Health West Wheeler

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1376632786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 200",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-884-6026",
            "fax_number": "706-884-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 200",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-884-6026",
            "fax_number": "706-884-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMUEL",
        "middle_name": "JONES",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "021551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000201572F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Teara Meriwether, LPC
• Stephanie Ruth Mezick
• Brett Allen Miller
• Pamela G Miller, CRNA
• Rachel Pless Miller, FNP-C
• William Bruce Miller, DMD
• Freustza Berthe Millien, PHARMD, RPH
• Tara W Milligan, DDS
• Van Millin, DO
• Mitchell and Oglesby Anesthesiologist Association PC (Moaa)

• Obstetrics & Gynecology Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.