Active NPI
Chealon D Miller, MD
- Orthopaedic Surgery Physician
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 067830
- Practice address
- 3211 Iris Dr
Covington, GA 30016-0907 - Phone
- (770) 787-4042
- Fax
- (770) 922-7499
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116018759 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 067830 | GA | Primary |
Addresses
Primary practice location
3211 Iris Dr
Covington, GA 30016-0907
Mailing address
3211 Iris Dr
Covington, GA 30016-0907
Phone (770) 787-4042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003126579A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Harvard Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esop Rehabilitation LLCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
3211 Iris Dr
Covington, GA 30316
Phone (770) 787-4042
875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669
9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339
Hospital & facility affiliations
- Visiting Nurse Health System, Inc
- Piedmont Rockdale Hospital
- Piedmont Newton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 15 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067830 | GA | MD | Orthopaedic Surgery Physician |
| 0116018759 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3211 Iris Dr
Covington, GA 30016
Phone (770) 787-4042
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
Interoperability endpoints
- chealon.miller.1@15749.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
- Home Health Agency
- Marietta, GA
- NPI 1992766273
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": "1349827200000",
"number": "1902011745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 IRIS DR",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300160907",
"telephone_number": "770-787-4042",
"fax_number": "770-922-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 IRIS DR",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300160907",
"telephone_number": "770-787-4042",
"fax_number": "770-922-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHEALON",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116018759",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "067830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003126579A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.