Individual provider Active NPI

Laura Marie Miller, MD

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
National Provider Identifier
1740570308
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52839 Issued in TN
Practice address
304 Wright St
Sweetwater, TN 37874-1181
Phone
(865) 213-8590
Fax
(865) 213-8766
NPI assigned
Apr 15, 2011
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Obstetrics & Gynecology Physician 207V00000X 52839 TN Primary

Addresses

Primary practice location

304 Wright St
Sweetwater, TN 37874-1181

Mailing address

304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 213-8200

Other identifiers 1

IdentifierTypeStateIssuer
Q013618MedicaidTN

Other names 1

  • Laura Marie Berardi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208001785 TN Practitioner - Obstetrics/Gynecology 4981915915 Reassigns benefits to 1 organization
Practice locations: Sweetwater, TN

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetwater Hospital AssociationGroup PAC ID 6608773775, 26 clinicians

Practice addresses (Care Compare)

304 Church St
Sweetwater, TN 37874-1181
Phone (865) 213-8401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52839TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Perinatal Center CurrentSince Nov 23, 2021 Accepting new patients
Sweetwater Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
Sweetwater Hospital Association Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients

Locations

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1255 Highway 411
Ste 6
Vonore, TN 37885
Phone (865) 213-8401

155 Grand Vis
Ste 3
Vonore, TN 37885
Phone (423) 884-2450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1740570308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8590",
            "fax_number": "865-213-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "52839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013618",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BERARDI",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.