John Justus Miller (NPI# 1720022155, PAC ID# 4880660323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1720022155 |
| PAC ID by PECOS | 4880660323 |
| Professional Enrollment ID | I20060622000126 |
| Full Name | John Justus Miller |
| Organization Legal Name | GEORGIA RETINA, PC |
| Address |
6095 Professional Pkwy B202 Douglasville GA 30134-5629 |
| Phone Number | 6783030136 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1254328248 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6095 Professional Pkwy, B202, Douglasville, GA 30134-5629 | 6783030136 | GEORGIA RETINA, PC |
| 403 Westpark Court, Suite 110, Peachtree City, GA 30269 | 7709079400 | GEORGIA RETINA, PC |
| Organization Legal Name | GEORGIA RETINA, PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yogin P Patel | Ophthalmology | Georgia Retina, PC | 2393 Wall St, Suite 280, Conyers, GA 30013-2187 |
| Hyung Cho | Ophthalmology | Georgia Retina, PC | 175 Country Club Dr, Bldg 300 Suite D, Stockbridge, GA 30281-7380 |
| Sri Krishna Mukkamala | Ophthalmology | Georgia Retina, PC | 833 Campbell Hill St, Suite 300, Marietta, GA 30060-1159 |
| Atul Sharma | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Robert A Stoltz | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Michael S Jacobson | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Jay B Stallman | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Stephanie L Vanderveldt | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Sean S Koh | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Gregory Dongkyu Lee | Ophthalmology | Georgia Retina, PC | 1100 Johnson Ferry Nerd, Suite 593, Atlanta, GA 30342-1733 |
| Street Address |
6095 PROFESSIONAL PKWY B202 |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30134-5629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Colvin | Certified Nurse Midwife (cnm) | Wellstar Medical Group, LLC | 6095 Professional Pkwy, A210, Douglasville, GA 30134-5611 |
| Rafiq El Hammali | Nephrology | 6095 Professional Pkwy, B210, Douglasville, GA 30134-5607 | |
| Kevin Ward | Obstetrics/gynecology | Wellstar Medical Group, LLC | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 |
| Kristine Marie Raynard | Certified Nurse Midwife (cnm) | Wellstar Medical Group, LLC | 6095 Professional Pkwy, A210, Douglasville, GA 30134-5611 |
| Marie-teresa Christophe Colbert | Obstetrics/gynecology | Wellstar Medical Group, LLC | 6095 Professional Pkwy, A210, Douglasville, GA 30134-5611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Paine | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Jennifer L Hayes | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Lucy Schmidt Sugg | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Rhona A Hyman | Nurse Practitioner | Wellstar Medical Group, LLC | 9280 Hwy 5 H, Douglasville, GA 30134-1501 |
| Albert M Edwards | Family Medicine | 9280 Hwy 5 D, Douglasville, GA 30134-1501 | |
| Mohamad A Hamki | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Dominic I Asika | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Michelle Huggins | Internal Medicine | 6934 Hwy 78, Douglasville, GA 30134-1604 | |
| David M Lebhaft | Chiropractic | 6602 Church St, Douglasville, GA 30134-1808 | |
| Michael Shannon Moody | Family Medicine | 8464 Adair St, Douglasville, GA 30134-1839 | |
| Find all physicians in zip 30134 | |||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | DOUGLASVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on John Justus Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.