Organization Active NPI

James a.Miller Jr.,MD,PA

  • Psychiatry Physician
  • Melbourne, FL
National Provider Identifier
1679717938
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0047015 Issued in FL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25360990MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.