Active NPI
Olivia Miller, DC
- Chiropractor
- Cleveland, TN
National Provider Identifier
1902455397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3262
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25115 | AL | MD | Surgery Physician |
| 2617 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Chiropractic & Sport Med LLC | Chiropractor | Current | Accepting new patients |
| Birmingham Wellness LLC | Chiropractor | Current | 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.