Individual provider Active NPI

Marcia O Miller, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1487661559
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME49010 Issued in FL
Practice address
5354 Reynolds St Ste 424
Savannah, GA 31405-6011
Phone
(912) 819-5999
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME49010 FL Primary

Addresses

Primary practice location

5354 Reynolds St Ste 424
Savannah, GA 31405-6011

Mailing address

PO Box 15849
Savannah, GA 31416-2549
Phone (912) 819-5999

Other practice location 1

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (800) 362-2731

Other identifiers 1

IdentifierTypeStateIssuer
064298300MedicaidFL

Other names 1

  • Marcia Owen Miller Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130702000086 GA Practitioner - Family Practice 2365482460 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hosptialists, LLC CurrentSince Jul 1, 2013 Accepting new patients
Emergency Medical Center, Inc Past Accepting new patients
Saint Joseph'S Hospital, Inc. Past Accepting new patients
Family Practice Associates PA Family Medicine PastSince Oct 1, 2000 Accepting new patients
Atlas Diagnostics Inc Past Accepting new patients

Locations

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

5353 Reynolds St
Ste 201
Savannah, GA 31405
Phone (912) 352-7293

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487661559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15849",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162549",
            "telephone_number": "912-819-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 424",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056011",
            "telephone_number": "912-819-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13737 Noel Rd",
            "address_2": "Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "800-362-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARCIA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME49010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064298300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "MILLER",
            "middle_name": "OWEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.