Keith A Miller

Primary specialty

PodiatristTaxonomy code 213E00000X

License

GA000916 Issued in GA

Practice address

416 Pirkle Ferry Rd Ste J500
Cumming, GA 30040-9221

Phone

(678) 513-8777

Fax

(678) 513-8999

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Special Care Podiatry of Georgia, LLC

  • Podiatrist
  • Byron, GA
  • NPI 1891195962
  Medicare reassignment NPD
• Healthy Feet of SC LLC

  • Podiatrist
  • Greer, SC
  • NPI 1194331132
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  GA

  Medicare reassignment NPD
• Foot and Ankle Wellness Center

  • Podiatrist
  • Cumming, GA
  • NPI 1366637399
  NPD Authorized official
• 360Care Services of Georgia LLC

  • Optometrist
  • Norcross, GA
  • NPI 1871353599
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1942354485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PIRKLE FERRY RD STE J500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409221",
            "telephone_number": "678-513-8777",
            "fax_number": "678-513-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PIRKLE FERRY RD STE J500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409221",
            "telephone_number": "678-513-8777",
            "fax_number": "678-513-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEITH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "GA000916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N327176",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10059160",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2700108",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000901018B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Serenity House
• Michael B. Drew, LLC
• Addison Brynne Mienert
• Milan Eye LLC
• Dominique Miller
• Mackenzie L Miller, PT, DPT
• Sherry Miller, OTRL
• Sydney Miller, BCBA
• Lauren Elizabeth Milner
• Milton Pharmacy LLC

• Podiatrist in Cumming, GA
• Providers in Cumming, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.