Gregory Devon Miller PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GREGORY DEVON MILLER PLLC

Doing business as

Seacoast Health

Practice address

4856 First Coast Hwy Ste 1
Fernandina Beach, FL 32034-5495

Phone

(904) 229-5038

Fax

(904) 592-5343

NPI assigned

Jan 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Devon Miller, DO

Title

Owner

Phone

(904) 229-5038

Specialties & licenses 1

Addresses

Other names 1

• Seacoast Health Doing business as

Locations

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1902436975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 FIRST COAST HWY STE 1",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345495",
            "telephone_number": "904-229-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 FIRST COAST HWY STE 1",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345495",
            "telephone_number": "904-229-5038",
            "fax_number": "904-592-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DEVON MILLER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-229-5038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seacoast Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seacoast Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Grammel, MSW
• Jamie Lynn Grant, APRN
• Molly Grassman, PA-C
• Robert Lee Gray II, PA-C
• Tez-Mia Kimberly Gray
• Bianca Gregory, COTA/L
• Pauline Becton Gregory, ED.S, M.S.
• Lynne Alford Grinold, RN-C,IBCLC,RLC,CDE
• Lu Griz
• Ansley T Grogan, DO

• Adult Mental Health Clinic/Center in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.