Individual provider Active NPI

David E Miller, D.O.

  • Emergency Medicine Physician
  • Pensacola, FL
National Provider Identifier
1629090790
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.1443 Issued in AL
Practice address
6420 N 9TH Ave
Pensacola, FL 32504-7322
Phone
(850) 494-2039
Fax
(850) 494-2043
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9816 FL
Family Medicine Physician 207Q00000X OS9816 FL
Emergency Medicine Physician 207P00000X DO.1443 AL Primary

Addresses

Primary practice location

6420 N 9TH Ave
Pensacola, FL 32504-7322

Mailing address

6420 N 9TH Ave
Pensacola, FL 32504-7322
Phone (850) 494-2039

Other identifiers 3

IdentifierTypeStateIssuer
P00395910OtherFLMEDICARE RAILROAD
P00263797OtherILMEDICARE RAILROAD
036114244MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150505001491 AL Practitioner - Emergency Medicine 5890751085 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1443ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Alabama Physicians LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Jul 29, 2017 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Moore Emergency Group, LLC Emergency Medicine CurrentSince Dec 16, 2018 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Ihc-Swedishamerican Emergency Physicians, LLC Emergency Medicine PastSince Dec 15, 2019 Accepting new patients
Miller Medical PLLC PastSince Mar 29, 2020 Accepting new patients
Doctors Diet Program of Florida PastSince Mar 29, 2020 Accepting new patients
Independent Emergency Physicians, P.C. PastSince Oct 12, 2025 Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

75 Remit Dr
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: david.miller.1@17484.direct.athenahealth.com

Organizations & group practices 12

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1629090790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047322",
            "telephone_number": "850-494-2039",
            "fax_number": "850-494-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047322",
            "telephone_number": "850-494-2039",
            "fax_number": "850-494-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9816",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00395910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00263797",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114244",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.