Individual provider Active NPI

Jessica Marie Miller, M.D.

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1811103344
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME164054 Issued in FL
Practice address
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone
(904) 236-5884
NPI assigned
May 14, 2007
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44772 OK
Diagnostic Radiology Physician 2085R0202X 0101243997 VA
Diagnostic Radiology Physician 2085R0202X ME164054 FL Primary

Addresses

Primary practice location

5151 N 9TH Ave
Pensacola, FL 32504-8721

Mailing address

464 Wisdom Path
Chesapeake, VA 23322-4427
Phone (301) 233-6132

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000

Other practice location 2

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000

Other practice location 3

600 Gresham Dr
Sentera Norfolk General Hospital - Radiology Dept
Norfolk, VA 23507
Phone (757) 388-1141

Other practice location 4

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone (918) 935-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230821001387 FL Practitioner - Diagnostic Radiology 0648675660 Reassigns benefits to 3 organizations
I20250325002396 TX Practitioner - Diagnostic Radiology 0648675660 Reassigns benefits to 10 organizations
I20250409001075 OK Practitioner - Diagnostic Radiology 0648675660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
The Breast CenterGroup PAC ID 8325946072, 13 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

1200 Thicket LN
Sarasota, FL 34240-7401
Phone (918) 935-3550

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

1890 Summit Blvd
Suite 110
Pensacola, FL 32503-3357
Phone (904) 399-5550

2 Columbia Dr
Tampa, FL 33606-3508
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

2812 Manor Cir
Gulf Breeze, FL 32563-2662
Phone (918) 935-3550

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

5604 SW Lee Blvd
Suite 150
Lawton, OK 73505-9680
Phone (580) 536-9729

900 N Owen Walters Boulevard
A Mo Health Center
Salina, OK 74365-5003
Phone (918) 434-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44772OKMDDiagnostic Radiology Physician
0101243997VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Apr 13, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 27, 2023 Accepting new patients
Clinton Indian Health Center CurrentSince Mar 3, 2025 Accepting new patients
The Breast Center CurrentSince Jan 15, 2026 Accepting new patients
Woodlands Medical Specialists P a CurrentSince Aug 17, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 4, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
El Reno Indian Health Center CurrentSince Mar 3, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 1, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 4, 2025 Accepting new patients
Watonga Indian Health Center CurrentSince Mar 3, 2025 Accepting new patients
Pawnee Indian Health Center CurrentSince Mar 3, 2025 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Cherokee Nation CurrentSince Apr 13, 2025 Accepting new patients
Wewoka Indian Health CurrentSince Mar 3, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Mar 3, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Anadarko Indian Health Center CurrentSince Mar 3, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 4, 2025 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations (25 of 38)

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

5604 SW Lee Blvd
Ste 150
Lawton, OK 73505
Phone (580) 536-9729

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 7

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1811103344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WISDOM PATH",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224427",
            "telephone_number": "301-233-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "904-236-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_2": "Sentera Norfolk General Hospital - Radiology Dept",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "757-388-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 S Garnett Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741465201",
            "country_code": "US",
            "telephone_number": "918-935-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "44772",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101243997",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME164054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.