Organization Active NPI

Miller Family Chiropractic

  • Chiropractor
  • Winder, GA
National Provider Identifier
1780959189
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006395 Issued in GA
Legal business name
MILLER FAMILY CHIROPRACTIC
Practice address
257 N Broad St
Winder, GA 30680-2179
Phone
(770) 307-0873
Fax
(770) 307-3558
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Jeffrey Todd Miller, D.C.NPI 1083836977
Title
Chiropractor/Owner
Phone
(770) 307-0873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006395 GA Primary

Addresses

Primary practice location

257 N Broad St
Winder, GA 30680-2179

Mailing address

257 N Broad St
Winder, GA 30680-2179
Phone (770) 307-0873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000889 GA Part B Supplier - Clinic/Group Practice 1355501750 Receives reassigned benefits from 1 practitioner
Practice locations: Winder, GA

National Provider Directory

National Provider Directory

Locations

7416 Spout Springs Rd
Flowery Branch, GA 30542
Phone (770) 965-3935

257 N Broad St
Winder, GA 30680
Phone (770) 307-0873

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1780959189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802179",
            "telephone_number": "770-307-0873",
            "fax_number": "770-307-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802179",
            "telephone_number": "770-307-0873",
            "fax_number": "770-307-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "770-307-0873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.