MR. JERRY P MILLER (NPI# 1144435801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144435801 |
| Entity Type | Individual |
| Full Name | MR. JERRY P MILLER |
| Practice Address |
1605 W G St Elizabethton TN 37643-2832 |
| Practice Telephone | 4235424981 |
| Practice Fax Number | 4235424981 |
| Mailing Telephone | 4235424981 |
| Mailing Fax Number | 4235424981 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | T000203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811255201 | Jerry Paul Miller IIi | Student in an Organized Health Care Education/Training Program | 1516 Aztec Ave, Apt#209, Metairie, LA 70005-1266 | 2012-04-24 |
| 1992021414 | Jerry Wade Miller | Case Manager/Care Coordinator | 133 Mckinney St Ste 202, Farmersville, TX 75442-2221 | 2010-04-08 |
| 1235257288 | Jerry L. Miller | Psychologist | 930 Cambridge St Ste 107, Fayetteville, NC 28303-5356 | 2007-03-27 |
| 1356382014 | Jerry Miller | Chiropractor | 8501 E Mill Plain Blvd, Vancouver, WA 98664-2010 | 2006-06-10 |
| 1811936511 | Jerry W. Miller | Internal Medicine | 1330 E. Yandell Drive, El Paso, TX 79902-5529 | 2006-06-06 |
| 1871543199 | Jerry Miller | Family Medicine | 211 13th St, Ramona, CA 92065-2711 | 2006-05-10 |
| 1669431128 | Jerry L Miller | Internal Medicine | 890 Westfall Rd, Suite A, Rochester, NY 14618-2610 | 2006-03-22 |
| 1497758049 | Jerry J Miller | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937-6725 | 2005-05-27 |
| 1306121629 | Jerry Robert Miller | Pharmacist | 7975 E Us Highway 36, Avon, IN 46123-7975 | 2011-10-18 |
| 1790795367 | Jerry E Miller | Counselor | 209 N 10th St, Hamilton, MT 59840-2357 | 2006-08-08 |
| Street Address |
1605 W G ST |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750451308 | Holly Suzanne Smith | Contractor | 629 W Elk Ave, Elizabethton, TN 37643-2559 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288755 | Indi Arrington Shelton | Contractor | 1904 Meharry Blvd # 3, Nashville, TN 37208-2900 | 2020-09-04 |
| 1962021568 | Roberto Antonio Moreno Gonzalez | Contractor | 10226 Stellata Ln, Apison, TN 37302-1706 | 2020-04-13 |
| 1184261299 | Chester Arthur Ashford Jr. | Contractor | 10257 Eveninghill Dr, Cordova, TN 38016-0334 | 2019-12-09 |
| 1104469147 | Tami Lea Davis | Contractor | 3608 Highway 230, Hurricane Mills, TN 37078-2163 | 2019-10-22 |
| 1093366569 | Lisa Isom | Contractor | 485 Hazelwood Rd, Memphis, TN 38109-3259 | 2019-09-25 |
| 1366002396 | Thomas Eddins | Contractor | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-06-20 |
| 1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
| 1275090649 | Cure Orthopedics, LLC | Contractor | 4327 Signal Hill Dr, Nashville, TN 37205-3821 | 2019-02-21 |
| 1306302021 | Antuan Eugenia Cornelius | Contractor | 813 Peachers Mill Rd, Clarksville, TN 37042-5419 | 2019-02-18 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
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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.