Active NPI
John Justus Miller, MD
- Ophthalmology Physician
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 057132
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PC
Practice addresses (Care Compare)
6095 Professional Pkwy
Suite B102
Douglasville, GA 30134-5608
Phone (678) 303-0136
Hospital & facility affiliations
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057132 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Retina, PC | Ophthalmology | Current | Accepting new patients |
| Familycare Medical, LLC | Past | 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.
-
- Family Medicine Physician
- Morrow, GA
- NPI 1215171459
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
- Tanya Michelle Meziere, M.D.
- Middle Georgia Emergency Group, LLC
- Rao S Mikkilineni, M.D.
- Millennium Homecare LLC
- Millennium Neonatology of Georgia PLLC
- John Albert Milner, CRNA
- Maya Milton, MD
- Mindscape Wellness Center LLC
- Minimally Invasive Neurospine and Pain Institute, PC
- Harold Mitchell Jr., OTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.