Jack W Miller, MD - Pediatrics in Carrollton, GA

Jack W Miller, MD is a Pediatrics - Developmental - Behavioral Pediatrics physician based in Carrollton, Georgia. Jack W Miller is licensed to practice in Georgia (license number 044541) and his current practice location is 100 Professional Pl, Ste 104, Carrollton, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 830-7039.

NPI number for Jack W Miller is 1275699514 and his current mailing address is 100 Professional Pl, Ste 104, Carrollton, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275699514.

Contact Information

Jack W Miller, MD
100 Professional Pl, Ste 104,
Carrollton, GA 30117-3874
(770) 830-7039
(770) 830-7149



Physician's Profile

Full NameJack W Miller
GenderMale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location100 Professional Pl, Carrollton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275699514
  • Provider Enumeration Date: 12/29/2006
  • Last Update Date: 08/06/2015

Medical Identifiers

Medical identifiers for Jack W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275699514NPI-NPPES
000767709CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 044541 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack W Miller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack W Miller, MD
100 Professional Pl, Ste 104,
Carrollton, GA 30117-3874

Ph: (770) 830-7039
Jack W Miller, MD
100 Professional Pl, Ste 104,
Carrollton, GA 30117-3874

Ph: (770) 830-7039

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Pediatrics Doctors in Carrollton, GA

Caitlin Mehalick Tierney, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    
Nyla Faye Cline, NURSE PRACTIONER
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Charles Edward Stevenson Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Jonathan M Goodin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Sushma Sudhi, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117
Phone: 770-812-8640    Fax: 770-838-8650
Elizabeth Thomas Adamiak, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833

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