Individual provider Active NPI

Olivia Miller, DC

  • Chiropractor
  • Cleveland, TN
National Provider Identifier
1902455397
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3262 Issued in TN
Practice address
4645 N Lee Hwy # 1
Cleveland, TN 37312-4042
Phone
(423) 790-1451
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2617 AL
Chiropractor 111N00000X 3262 TN Primary

Addresses

Primary practice location

4645 N Lee Hwy # 1
Cleveland, TN 37312-4042

Mailing address

4645 N Lee Hwy # 1
Cleveland, TN 37312-4042
Phone (423) 790-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002872 AL Practitioner - Chiropractic 1759713241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 6TH St N
Clanton, AL 35045-3426
Phone (205) 312-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25115ALMDSurgery Physician
2617ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic & Sport Med LLC Chiropractor CurrentSince Dec 9, 2024 Accepting new patients
Birmingham Wellness LLC Chiropractor CurrentSince Sep 25, 2019 Accepting new patients

Locations

105 6th St N
Clanton, AL 35045
Phone (205) 312-9131

5426 Highway 280
Ste 7
Hoover, AL 35242
Phone (205) 981-8090

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1902455397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY # 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-790-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 N LEE HWY # 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124042",
            "telephone_number": "423-790-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "OLIVIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2617",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.