NPIMap

Individual provider Active NPI

Robert G Miller, MD

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1639142524
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18647 Issued in TN
Practice address
2996 Kate Bond Rd Ste 405
Bartlett, TN 38133-4063
Phone
(870) 394-4832
Fax
(866) 345-0188
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18647 TN Primary

Addresses

Primary practice location

2996 Kate Bond Rd Ste 405
Bartlett, TN 38133-4063

Mailing address

2996 Kate Bond Rd Ste 405
Bartlett, TN 38133-4063
Phone (870) 394-4832

Other identifiers 2

IdentifierTypeStateIssuer
3859928MedicaidTN
4198150OtherTNBCBS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000239 TN Practitioner - Family PracticePractitioner - Emergency Medicine 3971561523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Group, PLLCGroup PAC ID 0042241077, 2 clinicians

Practice addresses (Care Compare)

2996 Kate Bond Rd
Suite 405
Bartlett, TN 38133-4063
Phone (501) 796-5703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.68 of 100Reported as individual
Quality
65.34
Improvement activities
40
Cost
91.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18647TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tishomingo Health Services, Inc. Past Accepting new patients
Somerville Emergency Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmiller32302@mlh.direct-ci.com

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 and National Provider Directory roles.

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1639142524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD STE 405",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334063",
            "telephone_number": "870-394-4832",
            "fax_number": "866-345-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD STE 405",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334063",
            "telephone_number": "870-394-4832",
            "fax_number": "866-345-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "18647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3859928",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4198150",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.