Active NPI
George P Miller, M.D.
- Internal Medicine Physician
- Tuscaloosa, AL
National Provider Identifier
1912008491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9366
- Practice address
- 1100 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2959 - Phone
- (205) 759-2582
- Fax
- (205) 759-2985
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9366 | AL | Primary |
Addresses
Primary practice location
1100 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2959
Mailing address
1100 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2959
Phone (205) 759-2582
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011158 | Medicaid | AL | |
| 700005260 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503000594 | AL | Order and Referring Only - Internal Medicine | 7012997570 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice of West Alabama, Inc | Hospice | Corporate Director | Jul 23, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Tuscaloosa, AL
- NPI 1861497935
Corporate Director
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1912008491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 RUBY TYLER PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354042959",
"telephone_number": "205-759-2582",
"fax_number": "205-759-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 RUBY TYLER PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354042959",
"telephone_number": "205-759-2582",
"fax_number": "205-759-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GEORGE",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "9366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000011158",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "700005260",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.