Active NPI
Camille Miller, MD
- Emergency Medicine Physician
- East Point, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 063785
- Practice address
- 1170 Cleveland Ave
East Point, GA 30344-3615 - Phone
- (404) 466-1654
- NPI assigned
- Dec 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 063785 | GA | Primary |
Addresses
Primary practice location
1170 Cleveland Ave
East Point, GA 30344-3615
Mailing address
5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rutgers School of Dental Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5438 Peachtree Blvd
Chamblee, GA 30341-2232
Phone (470) 816-0988
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| The Bortolazzo Group, LLC | Emergency Medicine | Past | Accepting new patients |
| Apollomd Group Services LLC | Emergency Medicine | Past | Accepting new patients |
| South Fulton Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Apollomd Group Services, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
5438 Peachtree Ind Blvd
Chamblee, GA 30341
Phone (470) 816-0988
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1821043787
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Emergency Medicine Physician
- Mt. Pleasant, SC
- NPI 1780839365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1508195918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR NW",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 CLEVELAND AVE",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443615",
"telephone_number": "404-466-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CAMILLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "063785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.
- 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.