Organization Active NPI

Medatlantic Physicians, P.a.

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1740684257
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDATLANTIC PHYSICIANS, P.A.
Practice address
400 South Dixie Highway
Suite 12
Lake Worth, FL 33460
Phone
(561) 568-1272
Fax
(561) 345-3521
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Adriene Miller, D.O.
Title
President
Phone
(561) 568-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 South Dixie Highway
Suite 12
Lake Worth, FL 33460

Mailing address

400 South Dixie Highway
Suite 12
Lake Worth, FL 33460
Phone (561) 568-1272

Other identifiers 1

IdentifierTypeStateIssuer
008044209MedicaidFL

National Provider Directory

National Provider Directory

Locations

400 S Dixie Hwy
Ste 12
Lake Worth, FL 33460
Phone (561) 568-1272

325 S Dixie Hwy
Ste 1
Lake Worth Beach, FL 33460
Phone (561) 568-1272

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1740684257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH DIXIE HIGHWAY",
            "address_2": "SUITE 12",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33460",
            "telephone_number": "561-568-1272",
            "fax_number": "561-345-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH DIXIE HIGHWAY",
            "address_2": "SUITE 12",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33460",
            "telephone_number": "561-568-1272",
            "fax_number": "561-345-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDATLANTIC PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ADRIENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-568-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008044209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.