Individual provider Active NPI

Phyllis E Miller, MD

  • Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1528058906
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD0000007890 Issued in TN
Practice address
1751 Gunbarrel Rd
Chattanooga, TN 37421-7177
Phone
(423) 697-1857
Fax
(423) 697-7564
NPI assigned
Oct 26, 2005
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD0000007890 TN Primary

Addresses

Primary practice location

1751 Gunbarrel Rd
Chattanooga, TN 37421-7177

Mailing address

4843 Hixson Pike
Hixson, TN 37343-4478
Phone (423) 870-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050621000564 TN Practitioner - Obstetrics/Gynecology 0547205551 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000007890TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Mar 20, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 11, 2010 Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

979 E 3rd St
Ste 1001
Chattanooga, TN 37403
Phone (615) 267-2392

1751 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 697-1857

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1751 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 680-8000

4843 Hixson Pike
Ste C
Hixson, TN 37343
Phone (423) 870-3700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1528058906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434478",
            "telephone_number": "423-870-3700",
            "fax_number": "423-877-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217177",
            "telephone_number": "423-697-1857",
            "fax_number": "423-697-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHYLLIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD0000007890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.