JESSE MILLER (NPI# 1114373131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114373131 |
| Entity Type | Individual |
| Full Name | JESSE MILLER |
| Credential | M.D. |
| Practice Address |
3209 Colonial Dr Columbia SC 29203-6930 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034346113 |
| Practice Fax Number | 8034347529 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 84645 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426232 | Jesse D Miller | Counselor | 62 Newton Ter, Waterbury, CT 06708-1919 | 2020-04-16 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1720170517 | Jesse Glenn Miller | Chiropractor | 300 W Shawnee St Ste B, Muskogee, OK 74401-4151 | 2006-09-29 |
| 1710981378 | Jesse D Miller | Physical Therapist | 129 S Main St, Suite B, Hiawassee, GA 30546-3435 | 2005-06-10 |
| 1871076547 | Jesse Miller | Psychologist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2018-09-10 |
| 1972023885 | Jesse Miller | Student in an Organized Health Care Education/Training Program | 1522 E A St, Casper, WY 82601 | 2017-06-21 |
| 1215335641 | Jesse Lee Miller | Chiropractor | 520 S Grand Ave, Mount Pleasant, IA 52641-1843 | 2014-12-17 |
| 1861805277 | Jesse Miller | Counselor | 862 S Main Street Suite 4, Brigham City, UT 84302 | 2014-06-04 |
| 1326302431 | Jesse Miller | Counselor | 1509 Paseo Del Pueblo Sur, Taos, NM 87571-5922 | 2012-07-03 |
| 1861753618 | Jesse Lee Miller | Anesthesiology | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2012-06-07 |
| Street Address |
3209 COLONIAL DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547032 | Michael Chinedu Nwude | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2005-09-09 |
| 1245728989 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2018-04-27 |
| 1326468299 | Puja Dalal | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2014-04-18 |
| 1528403359 | Kari-claudia M Allen | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2013-05-07 |
| 1982966479 | Alexander Roy | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2012-06-12 |
| 1326326398 | Morgan Bridget Adams | Pharmacist | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2011-07-25 |
| 1851604169 | Joshua Adam Riggsbee | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-07-16 |
| 1669783239 | Fang Emily Deng | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-06-28 |
| 1952635146 | Olabisi Badmus | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2009-09-22 |
| 1003052002 | John Gibbons Jordan Jr. | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2008-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on JESSE MILLER.
| 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.