Active NPI
Elizabeth A Miller, MD
- Ophthalmology Physician
- Savannah, GA
National Provider Identifier
1447299011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 029351
- Practice address
- 4720 Waters Ave
Savannah, GA 31404-6292 - Phone
- (912) 354-4800
- Fax
- (912) 629-5821
- NPI assigned
- Jun 6, 2006
- Last updated
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 029351 | GA | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 029351 | GA |
Addresses
Primary practice location
4720 Waters Ave
Savannah, GA 31404-6292
Mailing address
PO Box 102635
Atlanta, GA 30368-2635
Phone (912) 354-4800
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000337972D | Other | GA | MEDICAID - SAVANNAH |
| 000337972E | Medicaid | GA | |
| 10053812 | Other | GA | AMERIGROUP |
| 1447299011 | Other | GA | MEDICARE RAILROAD |
| 52415798-001 | Other | GA | BCBS |
| 349805 | Other | GA | WELLCARE |
| 511G701032 | Other | GA | MEDICARE GROUP |
| GPA977 | Other | SC | MEDICAID GRP. SAV |
| 000337972F | Medicaid | GA | |
| G29351 | Medicaid | SC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1447299011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102635",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682635",
"telephone_number": "912-354-4800",
"fax_number": "912-629-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046292",
"telephone_number": "912-354-4800",
"fax_number": "912-629-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "029351",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "GA",
"license": "029351",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SAVANNAH",
"identifier": "000337972D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000337972E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10053812",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1447299011",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52415798-001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "349805",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "511G701032",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GRP. SAV",
"identifier": "GPA977",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000337972F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G29351",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.