NPIMap

Individual provider Active NPI

John Michael Miller II, M.D.

  • Family Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1447690755
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61110245 Issued in WA
Practice address
907 Georgiana St
Port Angeles, WA 98362-3911
Phone
(360) 565-0999
Fax
(360) 565-0852
NPI assigned
Jul 1, 2013
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T-2693 MS
Family Medicine Physician 207Q00000X MD61110245 WA Primary

Addresses

Primary practice location

907 Georgiana St
Port Angeles, WA 98362-3911

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001137 MS Practitioner - Family Practice 9830413723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Philadelphia LLCGroup PAC ID 2567943830, 7 clinicians
Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians

Practice addresses (Care Compare)

1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (662) 432-4106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-2693MSMDFamily Medicine Physician
MD61110245WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Feb 1, 2024 Accepting new patients
Neshoba County General Hospital CurrentSince Feb 1, 2024 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Neshoba Physicians Billing Service CurrentSince Feb 1, 2024 Accepting new patients
Magee Benevolent Association Current Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
South Central Regional Medical Center CurrentSince Oct 25, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
South Central Regional Medical Center CurrentSince Oct 25, 2016 Accepting new patients
Neshoba Physician Billing Service Current Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Jul 1, 2016 Accepting new patients
Clallam County Public Hospital District 2 PastSince Jan 1, 2021 Accepting new patients
Neshoba County General Hospital Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

Interoperability endpoints

  • Direct secure messaging: johnmiller@mscm.allscriptsdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1447690755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-417-7111",
            "fax_number": "360-417-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GEORGIANA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623911",
            "telephone_number": "360-565-0999",
            "fax_number": "360-565-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-2693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61110245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.