Individual provider Active NPI

Megan Miller

  • Emergency Medicine Physician
  • Orange Park, FL
National Provider Identifier
1972965390
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME139939 Issued in FL
Practice address
2001 Kingsley Ave
Orange Park, FL 32073
Phone
(904) 639-8500
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 081470 GA
Emergency Medicine Physician 207P00000X 81407 GA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME139939 FL Primary

Addresses

Primary practice location

2001 Kingsley Ave
Orange Park, FL 32073

Mailing address

100 Magnolia St Apt 7108
Jacksonville, FL 32204-2259

Other practice location 1

655 W 8th St
Department of Emergency Medicine
Jacksonville, FL 32209-6511
Phone (904) 244-3817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190318001570 GA Practitioner - Emergency Medicine 9638465289 Reassigns benefits to 2 organizations
I20190820003543 FL Practitioner - Emergency Medicine 9638465289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081470GAMDEmergency Medicine Physician
81407GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 22, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 21, 2023 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jun 21, 2023 Accepting new patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince May 15, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 6

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 3

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1972965390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA ST APT 7108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-639-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th St",
            "address_2": "Department of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "081470",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "81407",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME139939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.