Individual provider Active NPI

John Justus Miller, MD

  • Ophthalmology Physician
  • Riverdale, GA
National Provider Identifier
1720022155
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
057132 Issued in GA
Practice address
155 Medical Way
Suite E
Riverdale, GA 30274
Phone
(770) 907-9400
Fax
(770) 907-1213
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 057132 GA Primary

Addresses

Primary practice location

155 Medical Way
Suite E
Riverdale, GA 30274

Mailing address

1100 Johnson Ferry Rd NE
Suite 593
Atlanta, GA 30342-1709
Phone (404) 255-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000126 GA Practitioner - Ophthalmology 4880660323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Retina, PCGroup PAC ID 1254328248, 23 clinicians

Practice addresses (Care Compare)

6095 Professional Pkwy
Suite B102
Douglasville, GA 30134-5608
Phone (678) 303-0136

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057132GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Retina, PC Ophthalmology CurrentSince May 1, 2007 Accepting new patients
Familycare Medical, LLC PastSince Feb 3, 2020 Accepting new patients
Retina Associates of Middle Georgia Ophthalmology Past Accepting new patients

Locations

1255 Friendship Rd
Ste 160
Braselton, GA 30517
Phone (678) 528-1101

100 Market Place Blvd
Ste 304
Cartersville, GA 30121
Phone (470) 274-2030

1835 Savoy Dr
Ste 100
Chamblee, GA 30341
Phone (678) 298-9484

990 Sanders Rd
#100
Cumming, GA 30041
Phone (678) 679-4830

6095 Professional Pkwy
Ste B102
Douglasville, GA 30134
Phone (678) 303-0136

1488 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (404) 875-9011

575 Professional Dr
Ste 330
Lawrenceville, GA 30046
Phone (404) 255-9096

6055 Lakeside Commons Dr
Ste 310
Macon, GA 31210
Phone (478) 238-9733

160 Water Tower Ct
Macon, GA 31210
Phone (478) 757-8806

833 Campbell Hill St NW
Ste 300
Marietta, GA 30060
Phone (770) 218-1888

403 Westpark Ct
Ste 110
Peachtree Cty, GA 30269
Phone (770) 486-1633

155 Medical Way
Ste E
Riverdale, GA 30274
Phone (770) 907-9400

1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096

175 Country Club Dr
Bldg 300D
Stockbridge, GA 30281
Phone (678) 284-4040

350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000

1462 Montreal Rd
Ste 412
Tucker, GA 30084
Phone (770) 396-2496

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1720022155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "SUITE 593",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-255-9096",
            "fax_number": "404-255-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL WAY",
            "address_2": "SUITE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "770-907-9400",
            "fax_number": "770-907-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "JUSTUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "057132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.