DR. THOMAS DAVIS MILLER M.D. NPI 1497804603

NPI Information

  • NPI: 1497804603
  • Provider Name: DR. THOMAS DAVIS MILLER, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1638 OWEN DR
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 615-8780

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NPI Details

DR. Thomas Davis Miller, M.D. is a pediatric emergency medicine pediatrics in Fayetteville, NC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Thomas Davis Miller, M.D. NPI is 1497804603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-424
Phone: (910) 615-8780

The NPI 1497804603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 4/6/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PP0204XEmergency MedicinePediatric Emergency Medicine2010-00914NORTH CAROLINANo
22080P0204XPediatricsPediatric Emergency Medicine2010-00914NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497804603MEDICAIDNORTH CAROLINA

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: 11/21/2025

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