Miller Foot & Ankle Healthcare, Inc.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

POD000776 Issued in GA

Legal business name

MILLER FOOT & ANKLE HEALTHCARE, INC.

Practice address

650 Henderson Drive, Suite 505
Cartersville, GA 30120-3723

Phone

(770) 386-1234

Fax

(770) 386-1250

NPI assigned

May 11, 2006

Last updated

Dec 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Miller, DPM

Title

Owner

Phone

(770) 386-1234

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1831149723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD, SUITE 320",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441002",
            "telephone_number": "770-386-1234",
            "fax_number": "678-574-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DRIVE, SUITE 505",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203723",
            "telephone_number": "770-386-1234",
            "fax_number": "770-386-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FOOT & ANKLE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-386-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000776",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD000776",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000776",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1756393",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362436212A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Menard, FNP-C
• Benjamin Mensah
• Olivia Jo Merandi, DDS
• Mallory Metraw
• Chaz Mezick
• Emily Miller, DPT
• Kevin Garrett Miller, MD
• Laura Michelle Miller, RN
• Mindy E Millington, M.ED., LMT
• Deborah P Mills, MS. CADC II , ICADC

• Primary Podiatric Medicine Podiatrist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Primary Podiatric Medicine Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.