Active NPI
James a.Miller Jr.,MD,PA
- Psychiatry Physician
- Melbourne, FL
National Provider Identifier
1679717938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0047015
- Legal business name
- JAMES A.MILLER JR.,MD,PA
- Practice address
- 1101 W Hibiscus Blvd
#201
Melbourne, FL 32901-2718 - Phone
- (321) 727-3833
- NPI assigned
- Apr 29, 2009
- Last updated
- Apr 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Austin Miller, MD
- Title
- President
- Phone
- (321) 727-3833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0047015 | FL | Primary |
Addresses
Primary practice location
1101 W Hibiscus Blvd
#201
Melbourne, FL 32901-2718
Mailing address
742 Hawksbill Island Dr
Satellite Beach, FL 32937-3851
Phone (321) 727-3833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25360990 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1101 W Hibiscus Blvd
Ste 201
Melbourne, FL 32901
Phone (321) 432-2572
400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Melbourne, FL
- NPI 1245453471
-
- Psychiatry Physician
- Fort Lauderdale, FL
- NPI 1922022078
-
- Clinical Social Worker
- Melbourne, FL
- NPI 1003963224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1679717938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 HAWKSBILL ISLAND DR",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373851",
"telephone_number": "321-727-3833",
"fax_number": "321-727-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W HIBISCUS BLVD",
"address_2": "#201",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012718",
"telephone_number": "321-727-3833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A.MILLER JR.,MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "AUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-727-3833",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0047015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25360990",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.