Individual provider Active NPI

Caroline B Miller, MD

  • Pediatrics Physician
  • Marietta, GA
National Provider Identifier
1851316624
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
054011 Issued in GA
Practice address
611 Campbell Hill St NW Ste 103
Marietta, GA 30060-1386
Phone
(770) 499-8909
Fax
(770) 499-8911
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 054011 GA Primary

Addresses

Primary practice location

611 Campbell Hill St NW Ste 103
Marietta, GA 30060-1386

Mailing address

611 Campbell Hill St NW Ste 103
Marietta, GA 30060-1386

Other identifiers 1

IdentifierTypeStateIssuer
279016898MedicaidGA

Other names 1

  • Caroline Brim Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054011GAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: cmiller148347@choa.gadirect.net
  • Direct secure messaging: carolinebmiller@healthystepspediatrics.opdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1851316624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CAMPBELL HILL ST NW STE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CAMPBELL HILL ST NW STE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601386",
            "telephone_number": "770-499-8909",
            "fax_number": "770-499-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLINE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "054011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279016898",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "MILLER",
            "middle_name": "BRIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.