Active NPI
Tommy L. Miller III, M.D.
- Interventional Cardiology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD0000033426
- Practice address
- 587 Skyline Dr
Jackson, TN 38301 - Phone
- (731) 421-6510
- Fax
- (731) 421-6500
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD0000033426 | TN | Primary |
Addresses
Primary practice location
587 Skyline Dr
Jackson, TN 38301
Mailing address
587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261
164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 642-8884
1716 Parr Ave
Suite C
Dyersburg, TN 38024-2074
Phone (731) 421-6510
175 Hospital Dr
Camden, TN 38320-1617
Phone (731) 593-6300
180 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 587-4261
235 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-3211
239 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-8208
301 Tyson Ave
Suite a B
Paris, TN 38242-4544
Phone (731) 421-6510
395 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 660-3344
4039 S Highland St
Milan, TN 38358-3483
Phone (731) 686-1591
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
640 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-9490
650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 645-7932
700 W Forest Ave
Jackson, TN 38301-3937
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Volunteer Community Hospital
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Milan Hospital
- Baptist Memorial Hospital Union City
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 24 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000033426 | TN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Dyersburg Clinic Corp | Past | Accepting new patients | |
| TMC West Georgia Cardiology Inc | Past | Accepting new patients | |
| Jackson Surgical Associates. PA | Past | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900
Interoperability endpoints
- tmiller20671@directepic.wth.org
- tommy.miller.p54@direct.lifelinevascular.nextgenshare.com
- tommy.milleriii.p1@direct.midsouthheartcenter.nextgenshare.com
- tommymiller@hvcwtn.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Family Medicine Physician
- Dyersburg, TN
- NPI 1093710568
-
- Surgery Physician
- Jackson, TN
- NPI 1932154713
-
dba Tanner Heart & Vascular Specialists
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1457396384
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
dba Dyersburg Employee Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
- NPI 1043282338
Hospital
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
dba West Tennessee Healthcare Milan Hospital
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1679506547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-421-6510",
"fax_number": "731-421-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-421-6510",
"fax_number": "731-421-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TOMMY",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "MD0000033426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.