DEVELLE MILLER (NPI# 1063811651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063811651 |
| Entity Type | Individual |
| Full Name | DEVELLE MILLER |
| Practice Address |
198 S. Macarthur Camilla GA 31730 |
| Practice Telephone | 2293362247 |
| Practice Fax Number | 2293368009 |
| Mailing Telephone | 2293362247 |
| Mailing Fax Number | 2293368009 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
198 S. MACARTHUR |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780077560 | Hiram Collins | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
| 1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
| 1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
| 1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
| 1306123146 | Freds Stores of Tennessee Inc | Pharmacy | 500 Us Hwy 19 South, Camilla, GA 31730 | 2011-11-08 |
| Find all providers in zip 31730 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1942630843 | Mark A Coleman | Counselor | 198 Mcarthur Dr., Camilla, GA 31730-4952 | 2013-11-14 |
| 1578992152 | Tashema Durn | Counselor | 218 S Macarthur Dr, Camilla, GA 31730-7410 | 2013-11-05 |
| 1457780017 | Yasmine Patrice Williams | Counselor | 198 S Macarthur Dr, Camilla, GA 31730-6370 | 2013-11-04 |
| 1295274587 | Tamiko Hill | Counselor | 198 S. Macarthur Drive, Camilla, GA 31730 | 2017-02-20 |
| 1811430515 | Curtistine Loydd | Counselor | 198 S. Macarthur Drive, Camilla, GA 31730 | 2016-11-29 |
| 1861934101 | Johnetta Morgan | Counselor | 198 S Macarthur Dr, Camilla, GA 31730-6370 | 2016-11-16 |
| 1174072540 | Ellery Farrell | Counselor | 198 S Macarthur Dr, Camilla, GA 31730-6370 | 2016-09-27 |
| Find all providers in CAMILLA | ||||
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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.