Individual provider Active NPI

Adam D. Miller, D.O.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1609034412
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2454 Issued in WV
Practice address
1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511
Phone
(865) 305-9352
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2026 TN
Family Medicine Physician 207Q00000X 2454 WV
Emergency Medicine Physician 207P00000X 2454 WV Primary

Addresses

Primary practice location

1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511
Phone (865) 305-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100519000894 WV Practitioner - Family PracticePractitioner - Emergency Medicine 8527106442 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2026TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Jun 1, 2021 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Jun 1, 2024 Accepting new patients
Braxton County Memorial Hospital CurrentSince Apr 30, 2024 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jun 14, 2020 Accepting new patients
Community Health Association CurrentSince Jun 1, 2024 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jul 3, 2024 Accepting new patients
THS Physician Partners Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Braxton County Memorial Hospital CurrentSince Apr 30, 2024 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 16, 2010 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jun 1, 2021 Accepting new patients
Community Health Association CurrentSince Jun 1, 2024 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Apr 23, 2025 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Community Health Association Past Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1609034412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U-67",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U-67",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ADAM",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2026",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2454",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.