NPIMap

Individual provider Active NPI

Justin Neal Miller, MD

  • Internal Medicine Physician
  • Tullahoma, TN
National Provider Identifier
1659834166
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
65937 Issued in TN
Practice address
1805 N Jackson St Ste 100
Tullahoma, TN 37388-2291
Phone
(931) 455-7767
NPI assigned
Apr 11, 2019
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65937 TN
Internal Medicine Physician 207R00000X 65937 TN Primary

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

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
I20220817000136 TN Practitioner - Internal MedicinePractitioner - Family Practice 3971986498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1805 N Jackson St
Tullahoma, TN 37388-2290
Phone (931) 461-4521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65937TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Aug 1, 2022 Accepting new patients
Vanderbilt Integrated Providers, LLC Family Medicine CurrentSince Aug 1, 2022 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

  • Direct secure messaging: jmiller728662@direct.vumc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.