Justin Neal Miller, MD
Individual provider Active NPI Internal Medicine Physician · Tullahoma, TN
NPI 1659834166 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1659834166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 65937 (TN)
- Practice address
- 1805 N Jackson St Ste 100
Tullahoma, TN 37388-2291 - Phone
- (931) 455-7767
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanderbilt Integrated Providers LLC
Practice addresses (Care Compare)
1805 N Jackson St
Tullahoma, TN 37388-2290
Phone (931) 461-4521
Hospital & facility affiliations
- Aveanna Home Health
- Amedisys Home Care
- Adoration Home Health, LLC
- Enhabit Home Health
- NHC Homecare Murfreesboro
- Caris Healthcare
- Vanderbilt University Medical Center
- Vanderbilt Tullahoma-Harton Hospital
- Vanderbilt Bedford Hospital
- Unity Medical Center
- Southern Tennessee Regional Health System Winchest
- NHC Healthcare, Tullahoma
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817000136 | TN | Practitioner - Internal Medicine |
3971986498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt Integrated Providers, LLC | Family Medicine | Current |
Accepting new patients |
| Vanderbilt Integrated Providers, LLC | Current |
Accepting new patients | |
| NHC Healthcare-Tullahoma LLC | Past | Accepting new patients |
Locations
1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
1805 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 455-7767
Interoperability endpoints
- jmiller728662@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 65937 | TN | |
| Internal Medicine Physician | 207R00000X | 65937 | TN | Yes |
Addresses
Primary practice location
1805 N Jackson St Ste 100
Tullahoma, TN 37388-2291
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65937 | Other | TN | TENNESSEE STATE LICENSE |
| Q050576 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1659834166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"fax_number": "615-322-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N JACKSON ST STE 100",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882291",
"telephone_number": "931-455-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JUSTIN",
"middle_name": "NEAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "65937",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "65937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE STATE LICENSE",
"identifier": "65937",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q050576",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
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All providers in Tullahoma, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.