MR. MICHAEL S. MILLER (NPI# 1104816941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104816941 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL S. MILLER |
| Credential | DPM |
| Practice Address |
3450 Acworth Due West Rd Suite 320 Kennesaw GA 30144-1002 |
| Practice Telephone | 7703861234 |
| Practice Fax Number | 6785745549 |
| Mailing Telephone | 7703861234 |
| Mailing Fax Number | 6785745549 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POD000776 | GA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD000776 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000776 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000776 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 362436212A | 05 | |
| LA | 1756393 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447467 | Michael Wiilaim Miller | Pharmacist | 8242 Mary Beth Dr, West Chester, OH 45069-2619 | 2020-02-03 |
| 1629610902 | Michael Miller | Technician | 12554 Fairview Ave Apt 1f, Blue Island, IL 60406-1781 | 2019-10-08 |
| 1215599725 | Michael Johnathan Miller | Occupational Therapist | 3131 Adams St Ne Apt E28, Albuquerque, NM 87110-8027 | 2019-07-03 |
| 1598329476 | Michael Scott Miller | Registered Nurse | 106 Susquehanna Ave, West Pittston, PA 18643-1709 | 2019-04-26 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972053874 | Michael Miller | Behavior Technician | 398 S Orchard Ave, Ukiah, CA 95482-5009 | 2016-10-04 |
| 1629448865 | Michael James Miller | Social Worker | 3801 Canal Suite 301, New Orleans, LA 70119 | 2015-09-30 |
| 1588045488 | Michael Miller | Family Medicine | 510 S 4th St Ste 600, Fulton, NY 13069-2904 | 2015-06-16 |
| 1235528308 | Michael Miller | Community Health Worker | 20 E Hiram St, Barberton, OH 44203-1622 | 2015-01-13 |
| 1760887566 | Michael Miller | Home Health Aide | 10839 Horseshoe Rd, Lynchburg, OH 45142-9442 | 2014-10-23 |
| Street Address |
3450 ACWORTH DUE WEST RD SUITE 320 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730422346 | Plastic Surgery Associates | Plastic Surgery | 3450 Acworth Due West Rd, Bldg 200 Ste 220, Kennesaw, GA 30144-1078 | 2013-04-02 |
| 1497793186 | Kristina Nichole Bogar | Family Medicine | 3450 Acworth Due West Rd, Bldg 200, Suite 220, Kennesaw, GA 30144-3335 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629090766 | Cobb Podiatry, P.C. | Podiatrist | 921 Checkered Way Nw, Kennesaw, GA 30152-7887 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741632 | Serenity Podiatry and Med Spa LLC | Podiatrist | 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 | 2020-02-11 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1598010720 | Swga Foot & Ankle Center | Podiatrist | 415 E 4th Ave Ste B, Cordele, GA 31015-0614 | 2012-07-13 |
| 1548524937 | Swga Foot & Ankle Center | Podiatrist | 922 E Jefferson St Ste D, Americus, GA 31709-4781 | 2012-06-29 |
| 1952667305 | Agape Foot & Ankle Clinic, LLC | Podiatrist | 3693 Wittenburg Ct, Decatur, GA 30034-5507 | 2012-04-10 |
| 1275780199 | Azuka Ifeyinwa Nwaedozie | Podiatrist | 3364 Medina Dr, Jonesboro, GA 30236-6873 | 2008-08-21 |
| 1386804045 | Howard Foot&leg Specialists,pc. | Podiatrist | 12476 Hopewell Rd, Alpharetta, GA 30004-1347 | 2008-06-16 |
| 1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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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.