DR. THOMAS ALFONSO MILLER (NPI# 1083658702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083658702 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALFONSO MILLER |
| Credential | MD |
| Practice Address |
1 Lincoln Parkway Suite 202 Hattiesburg MS 39402 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17185 | MS | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
17185 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILRAOD | 260049973 | 01 |
| AL | 009967635 | 05 | |
| MS | 00124288 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700387313 | Thomas Joseph Miller | Counselor | 191 N. Nc 41, Beulaville, NC 28518 | 2018-02-28 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1407173347 | Thomas Joseph Miller Jr. | Family Medicine | 308 E Long St, Claxton, GA 30417-1412 | 2010-05-03 |
| 1033435763 | Thomas R Miller | Counselor | 508 Hummingbird Dr, Lititz, PA 17543-1314 | 2010-04-20 |
| 1740512391 | Thomas Jon Miller | Nurse Anesthetist, Certified Registered | 15 Gilmore Ter, West Roxbury, MA 02132-2614 | 2010-02-08 |
| 1477718435 | Thomas Nolan Miller | Dentist | 4371 Highway 24, Anderson, SC 29626-5214 | 2008-07-18 |
| 1396921193 | Thomas M Miller | Obstetrics & Gynecology | 201 Monroe St Ste 983, Montgomery, AL 36104-3735 | 2008-01-11 |
| 1780883405 | Thomas A Miller | Pediatrics | 71 Us Route 1 Ste C, Scarborough, ME 04074-7174 | 2007-07-12 |
| 1578773313 | Thomas Wesley Miller | Dentist | 111 W Glover St, Ottawa, IL 61350-3931 | 2007-05-23 |
| 1336206200 | Thomas E Miller | Counselor | 53 S Ridge Rd, Pomona, NY 10970-2105 | 2007-01-02 |
| Street Address |
1 LINCOLN PARKWAY SUITE 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053354027 | Ashley Haynes Holford | Social Worker | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1881638732 | Charles Chapman Sledge | Psychiatry & Neurology | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| 1467496109 | Anthony Arnold Calabrese | Psychologist | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| 1992748008 | Michele F Larrow | Psychologist | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1851334981 | Alexandria G Polles | Psychiatry & Neurology | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1386687473 | Theresa Ann Ratti | Psychologist | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1932290392 | Millcreek Epsdt | Psychiatry & Neurology | 900 First Ave., N.e., Magee, MS 39111 | 2006-09-28 |
| 1639620560 | North Plantation | Psychiatry & Neurology | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-15 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1992906598 | Maecenas Inc | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 | 2007-05-30 |
| 1154477453 | Anthony Wade Jackson Sr. | Psychiatry & Neurology | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-01-27 |
| 1073684940 | Timothy Summers | Psychiatry & Neurology | 1818 College Drive, Meridian, MS 39307-5429 | 2006-11-13 |
| 1548357643 | Scott Rodgers | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.