Active NPI
Martin J Miller, MD
- Pediatrics Physician
- Beaufort, SC
National Provider Identifier
1942280433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD40715
- Practice address
- 1 Pinckney Blvd
Naval Hospital Beaufort
Beaufort, SC 29902 - Phone
- (843) 228-5600
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01035898A | IN | |
| Pediatrics Physician | 208000000X | MD40715 | SC | Primary |
Addresses
Primary practice location
1 Pinckney Blvd
Naval Hospital Beaufort
Beaufort, SC 29902
Mailing address
24 Coopers Hawk Rd
Hilton Head Island, SC 29926-1808
Phone (843) 228-5600
Other practice location 1
1 Pinckney Blvd
Naval Hospital Beaufort
Beaufort, SC 29902
Phone (843) 228-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100068410C | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035898A | IN | MD | Specialist |
| MD40715 | SC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1942280433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 COOPERS HAWK RD",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261808",
"telephone_number": "843-228-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"address_2": "NAVAL HOSPITAL BEAUFORT",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-228-5600"
}
],
"practiceLocations": [
{
"address_1": "1 Pinckney Blvd",
"address_2": "Naval Hospital Beaufort",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "29902",
"country_code": "US",
"telephone_number": "843-228-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARTIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01035898A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MD40715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100068410C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.