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MILLER FAMILY PRACTICE LLC. NPI 1073723680


NPI Information

NPI: 1073723680
Provider Name: MILLER FAMILY PRACTICE, LLC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0998543

Address:
1818 FORSYTH STREET
SUITE 200
MACON, GA
ZIP 31201
Phone: (478) 745-7878
Get Directions

MILLER FAMILY PRACTICE, LLC. is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MILLER FAMILY PRACTICE, LLC. NPI is 1073723680. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1818 FORSYTH STREET
SUITE 200
MACON, GA
ZIP 31201-636
Phone: (478) 745-7878
Fax: (478) 745-1636

The provider's authorized official is Conrad N. Miller .
The authorized official title is President and has the following contact phone number (478) 745-7878.

The CLIA number assigned to this NPI record is 11D0998543 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeGA 040963GEORGIANo
2207Q00000XFamily Medicine040962GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC7439OTHERGEORGIAMEDICARE RAILROAD
2000684615GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.