Jeri L. Miller, M.D.
Individual provider Active NPI Family Medicine Physician · Dublin, GA
NPI 1821030867 · NPPES record last updated Nov 5, 2013
Key facts
- NPI
- 1821030867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30835 (GA)
- Practice address
- 908 Hillcrest Pkwy
Dublin, GA 31021 - Phone
- (478) 272-7411
- Fax
- (478) 274-9809
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Community Health Services Inc
Practice addresses (Care Compare)
106 Shoppers Way
Suite 1
Brunswick, GA 31525-0511
Phone (912) 275-8208
1107 E 66TH St
Savannah, GA 31404-5701
Phone (912) 350-8404
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000125 | GA | Practitioner - Family Practice |
3779562277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30835 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services, Inc. | Current |
Accepting new patients | |
| Coastal Community Health Services Inc | Current |
Accepting new patients | |
| Coastal Community Health Services, Inc. | Past | Accepting new patients |
Locations
106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208
100 Professional Center Dr
Brunswick, GA 31525
1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028
1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30835 | GA | Yes |
| Emergency Medicine Physician | 207P00000X | 30835 | GA |
Addresses
Primary practice location
908 Hillcrest Pkwy
Dublin, GA 31021
Mailing address
908 Hillcrest Pkwy.
Dublin, GA 31021
Phone (478) 272-7411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000458147Q | Medicaid | GA | |
| 000458147S | Medicaid | GA |
Other providers in Dublin, GA
- Middle Georgia Women'S Specialists, Inc.
- Kassie D. Middlebrooks
- Alice Amanda Miller
- Amber Miller
- Jason Eric Miller
- Laura Beasley Miller
- Lewis H, Miller
- Lawanda Javon Mills
- Rashida Mims
- Elicia Davis Mincey
All providers in Dublin, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.