Individual provider Active NPI

Alan Edward Miller, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fernandina Beach, FL
National Provider Identifier
1750400792
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME102751 Issued in FL
Practice address
1865 Lime St
Suite 101
Fernandina Beach, FL 32034-4744
Phone
(904) 321-2422
Fax
(904) 321-2434
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME102751 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME102751 FL Primary

Addresses

Primary practice location

1865 Lime St
Suite 101
Fernandina Beach, FL 32034-4744

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

463386 State Road 200 Unit A
Yulee, FL 32097-3240
Phone (904) 406-3888

Other practice location 2

309 Arnow Dr
Saint Marys, GA 31558-3176
Phone (912) 439-3500

Other identifiers 3

IdentifierTypeStateIssuer
002623200MedicaidFL
P00847538OtherFLMEDICARE RAILROAD
145A8OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090701000187 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3577614668 Reassigns benefits to 1 organization
I20160315002004 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3577614668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of California, Davis School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, 257 clinicians

Practice addresses (Care Compare)

1390 Boone Ave Ext
Kingsland, GA 31548-6515
Phone (419) 221-3717

1564 Kingsley Ave
Suite 300
Orange Park, FL 32073-4521
Phone (904) 264-8801

1865 Lime St
Fernandina Beach, FL 32034-4779

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

2700 Riverside Ave
Suite 2
Jacksonville, FL 32205-8233
Phone (904) 265-7020

309 Arnow Dr
Saint Marys, GA 31558-3176
Phone (912) 439-3500

421 Kingsley Ave
Orange Park, FL 32073-4898

463380 State Rd
Yulee, FL 32097-3240
Phone (904) 468-3080

916 Kingsbay Rd
Saint Marys, GA 31558-3745
Phone (912) 576-3802

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Pain Medicine CurrentSince Jan 4, 2010 Accepting new patients
Physicians Group Services PA Physical Medicine & Rehabilitation CurrentSince Jan 4, 2010 Accepting new patients
Physicians Group Services PA Physical Medicine & Rehabilitation Past Accepting new patients
Coastal Health Primary Care LLC PastSince Oct 12, 2022 Accepting new patients

Locations

1865 Lime St
Ste 101
Fernandina Beach, FL 32034
Phone (904) 321-2422

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463386 State Road 200
Unit A
Yulee, FL 32097
Phone (904) 406-3888

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

309 Arnow Dr
Saint Marys, GA 31558
Phone (904) 321-2422

Interoperability endpoints

  • Direct secure messaging: alan.miller.1@25110.direct.athenahealth.com
  • Direct secure messaging: amiller@phs.emadirect.md

Organizations & group practices 5

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 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1750400792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LIME ST",
            "address_2": "SUITE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344744",
            "telephone_number": "904-321-2422",
            "fax_number": "904-321-2434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463386 State Road 200 Unit A",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973240",
            "country_code": "US",
            "telephone_number": "904-406-3888",
            "fax_number": "904-468-3193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Arnow Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315583176",
            "country_code": "US",
            "telephone_number": "912-439-3500",
            "fax_number": "912-439-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME102751",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME102751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002623200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00847538",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "145A8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.