Lisa Dawn Miller, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

038874 Issued in GA

Practice address

4152 Baker St NE
Covington, GA 30014-1404

Phone

(770) 788-1077

Fax

(770) 788-0768

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lisa D Miller MD Pediatrics PC

  • Pediatrics Physician
  • Covington, GA
  • NPI 1659352185
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1801954458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141404",
            "telephone_number": "770-788-1077",
            "fax_number": "770-788-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141404",
            "telephone_number": "770-788-1077",
            "fax_number": "770-788-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "038874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618945D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00512",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618945E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kia Delease Miles, NP-C
• Tay Lynn-Marie Miles
• Adrian Miller, D.D.S.
• Chealon D Miller, MD
• Deborah Miller, LPC
• Melanie A Miller
• Rhee Wade Miller, MD
• Mind Management Counseling LLC
• Megan Mitchell
• Trionna Danielle Mitchell, CNA , SRNA

• Pediatrics Physician in Covington, GA
• Providers in Covington, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.