DR. JACQUELIN ANN MILLER (NPI# 1124073325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073325 |
| Entity Type | Individual |
| Full Name | DR. JACQUELIN ANN MILLER |
| Credential | M.D. |
| Practice Address |
1035 Red Bud Rd Ne Calhoun GA 30701-6000 |
| Mailing Address |
1914 Wren Way Dalton GA 30720-4909 |
| Practice Telephone | 7066027800 |
| Mailing Telephone | 7063132891 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 043098 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P00313540 | 01 |
| Street Address |
1035 RED BUD RD NE |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557953 | Carl Billian | Psychiatry & Neurology | 1035 Red Bud Rd Ne, Suite 102, Calhoun, GA 30701-2077 | 2005-12-01 |
| 1518596840 | Jesmalis Aylin Rosales | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2020-04-07 |
| 1669016507 | Mandrea Kaylene Kearney | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-11-04 |
| 1619511052 | Evan Sunshine Crawford Lee | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-10-29 |
| 1366904179 | Karen King | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-04-01 |
| 1922507706 | Kyle Trott Benge | Nurse Anesthetist, Certified Registered | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2018-02-07 |
| 1679016034 | Julie Tippens | Nurse Practitioner | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-12-02 |
| 1295277085 | Jessica Roden | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-11-09 |
| 1013465038 | Laura Cothern | Nurse Anesthetist, Certified Registered | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-09-19 |
| 1205290467 | Gordon Emergency Physicians, LLC | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290467 | Gordon Emergency Physicians, LLC | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-04-13 |
| 1265790182 | Justin Hare | Emergency Medicine | 1060 Red Bud Rd Ne, Calhoun, GA 30701-2081 | 2012-04-28 |
| 1871506915 | Caroline M Stackhouse | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-2082 | 2006-08-13 |
| 1245285444 | John William Stearns | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6000 | 2006-05-24 |
| 1447204599 | Lyle F Helm | Emergency Medicine | 400 Timms Rd Ne, Calhoun, GA 30701-7016 | 2006-05-22 |
| 1730132481 | Todd Hold | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6000 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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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.