Deborah C Miller, APRN BC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN081032 CNS Issued in GA

Practice address

1361 Jennings Mill Road
Building 200 Suite 201
Bogart, GA 30622

Phone

(706) 316-1908

Fax

(706) 316-2062

NPI assigned

Mar 8, 2007

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edward J Fisher Jr MD Inc

  • Psychiatry Physician
  • Bogart, GA
  • NPI 1083736961
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1629109863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 JENNINGS MILL ROAD",
            "address_2": "BUILDING 200 SUITE 201",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "30622",
            "telephone_number": "706-316-1908",
            "fax_number": "706-316-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 JENNINGS MILL ROAD",
            "address_2": "BUILDING 200 SUITE 201",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "30622",
            "telephone_number": "706-316-1908",
            "fax_number": "706-316-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBORAH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "GA",
            "license": "RN081032 CNS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301102464A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Scott McCorkle, MD
• Thomas W McCormack Jr., MD
• Tymichia McGill
• Virginia McKenna, M.ED.
• Megan Milian
• Ivy Mitchell
• Sarah Grace Mitchell
• Mobile Physician Services, LLC
• William F. Morang, D.M.D.
• New Image Dental Group

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Bogart, GA
• Providers in Bogart, GA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.