Individual provider Active NPI

George E Miller III, M.D.

  • Emergency Medicine Physician
  • Grayling, MI
National Provider Identifier
1578829149
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43011008967 Issued in MI
Practice address
1100 E Michigan Ave
Emergency Department
Grayling, MI 49738-1312
Phone
(989) 348-5461
NPI assigned
Apr 7, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C. 55 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160714001328 MI Practitioner - Emergency Medicine 0446552921 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206247LAMDEmergency Medicine Physician
43011008967MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Nov 8, 2023 Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2020 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Epmg of Michigan, P.C. (Nurse Practitioners) Current Accepting new patients
Interlochen Emergency Group, P.C. Emergency Medicine CurrentSince Aug 19, 2024 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2020 Accepting new patients
Kalkaska Memorial Health Center Emergency Medicine CurrentSince Nov 8, 2023 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3782 Momentum Pl
Chicago, IL 60689

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43011008967 MI Primary
Emergency Medicine Physician 207P00000X MD.206247 LA

Addresses

NPPES NPI Registry

Primary practice location

1100 E Michigan Ave
Emergency Department
Grayling, MI 49738-1312

Mailing address

1209 Cass St
Traverse City, MI 49684-4145
Phone (912) 484-7878

Other practice location 1

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1578829149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844145",
            "telephone_number": "912-484-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381312",
            "telephone_number": "989-348-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-07",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "43011008967",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.206247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.