Miller Medical Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD0000025954 Issued in TN

Legal business name

MILLER MEDICAL CLINIC

Practice address

1900 Kirby Pkwy
Suite 100
Germantown, TN 38138-3653

Phone

(901) 624-6885

Fax

(901) 624-2945

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vernon Arthur Miller, M.D.NPI 1275735516

Title

Persident

Phone

(901) 624-6885

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon A. Miller, M.D.

  • Obesity Medicine (Preventive Medicine) Physician
  • Germantown, TN
  • NPI 1275735516
  NPD (past) Authorized official
• Sheryl Blaiss Kirk, FNP

  • Family Nurse Practitioner
  • Cordova, TN
  • NPI 1255670576
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1821431107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383653",
            "telephone_number": "901-624-6885",
            "fax_number": "901-624-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383653",
            "telephone_number": "901-624-6885",
            "fax_number": "901-624-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "901-624-6885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD0000025954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midsouth Speciality Anesthesia Services LLC
• Marc J Mihalko, M.D.
• William M. Mihalko, MD
• Mike Pulido DDS
• Mark A Milburn, M.D.
• Angela Hope Miller, APRN
• Ayanna Nia Miller, APRN
• Jennifer Mitchell Miller, NP
• Mark Page Miller, M.D.
• Melissa Miller, LBA

• Medical Specialty Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.