Individual provider Active NPI

Dorothy L Miller, MD

  • Family Medicine Physician
  • Longview, TX
National Provider Identifier
1922075126
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2045 Issued in TX
Practice address
805 Medical Dr
Longview, TX 75605-5130
Phone
(903) 232-8100
Fax
(903) 232-8115
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2045 TX Primary

Addresses

Primary practice location

805 Medical Dr
Longview, TX 75605-5130

Mailing address

PO Box 610393
Dallas, TX 75261-0393
Phone (903) 291-6187

Other identifiers 1

IdentifierTypeStateIssuer
038312706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000660 TX Practitioner - Family Practice 6608834403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

805 Medical Cir
Longview, TX 75605-5130
Phone (903) 232-8100

Hospital & facility affiliations

  • Onesource Home Care Inc Home health agency, Longview, TX, CCN 679138
  • Premier Home Care Home health agency, Longview, TX, CCN 743174
  • Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2045TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services, PLLC CurrentSince Aug 19, 2025 Accepting new patients
Kranz Psychological Services, PLLC Family Medicine CurrentSince Nov 18, 2020 Accepting new patients
Associated Clinicians of East Texas Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Associated Clinicians of East Texas Past Accepting new patients

Locations

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

707 Hollybrook Dr
Longview, TX 75605
Phone (903) 232-8501

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

Interoperability endpoints

  • Direct secure messaging: dorothy.miller.1@23550.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1922075126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610393",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752610393",
            "telephone_number": "903-291-6187",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MEDICAL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055130",
            "telephone_number": "903-232-8100",
            "fax_number": "903-232-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DOROTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038312706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.