Active NPI
Daniel Miller Jr., MD
- Family Medicine Physician
- Hampton, GA
National Provider Identifier
1982940458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75630
- Practice address
- 1058 Bear Creek Blvd
Hampton, GA 30228-1849 - Phone
- (770) 707-0808
- Fax
- (770) 707-1580
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75630 | GA | Primary |
Addresses
Primary practice location
1058 Bear Creek Blvd
Hampton, GA 30228-1849
Mailing address
1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75630 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1982940458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 BEAR CREEK BLVD",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302281849",
"telephone_number": "770-707-0808",
"fax_number": "770-707-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 BEAR CREEK BLVD",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302281849",
"telephone_number": "770-707-0808",
"fax_number": "770-707-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANIEL",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "75630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.