SUSAN A MILLER (NPI# 1205467081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205467081 |
Entity Type | Individual |
Full Name | SUSAN A MILLER |
Practice Address |
4815 Ridge Rd Douglasville GA 30134-6142 |
Practice Telephone | 7709492661 |
Mailing Telephone | 4048610958 |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
12122 | AL | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
16790 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932706231 | Susan R Miller | Technician | 3350 Cherry St Apt 207, Grand Forks, ND 58201-7629 | 2020-10-08 |
1578178455 | Susan Linda Miller | Home Health Aide | 16 Cedar Pointe Lp. #b, Columbia Falls, MT 59912 | 2020-09-09 |
1699323741 | Susan Miller | Specialist | 14 Nelson Ln, Syosset, NY 11791-4805 | 2019-09-02 |
1841704301 | Susan Miller | Social Worker | 2502 E 71st St, Tulsa, OK 74136-5531 | 2017-11-20 |
1326573882 | Susan Miller | Registered Nurse | 3303 Tremont Ave, Davenport, IA 52803-1326 | 2017-04-21 |
1821537630 | Susan Jean Miller | Massage Therapist | 2720 Jeppesen Acres Rd, Eugene, OR 97401-7457 | 2017-02-14 |
1639546575 | Susan E Miller | Nurse Practitioner | 871 Little Conestoga Rd, Glenmoore, PA 19343-2009 | 2015-08-26 |
1053787580 | Susan Elizabeth Miller | Physical Therapist | 1164 S Acoma St Unit 554, Denver, CO 80210-1659 | 2015-08-19 |
1265837769 | Susan Miller | Nurse Practitioner | 2929 Cloverdale Rd, Florence, AL 35633-1505 | 2014-10-27 |
1912316803 | Susan Dee Miller | Veterinarian | 4388 Shady Oak Rd, Hopkins, MN 55343 | 2014-08-05 |
Street Address |
4815 RIDGE RD |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30134-6142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063446870 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 4815 Ridge Rd, Douglasville, GA 30134-6142 | 2006-07-10 |
1144857707 | Juliet Dzekashu Dangoh | Pharmacist | 4815 Ridge Rd, Douglasville, GA 30134-6142 | 2020-03-24 |
1861737314 | Pamela K Platt | Pharmacist | 4815 Ridge Rd, Douglasville, GA 30134-6142 | 2012-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
Find all providers in zip 30134 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497354336 | Sunjeet Virdi | Pharmacist | 8501 Hospital Dr, Douglasville, GA 30134-2414 | 2020-10-21 |
1073133773 | Lana Kuykendoll | Pharmacist | 8501 Hospital Dr, Douglasville, GA 30134-2414 | 2020-04-22 |
1144857707 | Juliet Dzekashu Dangoh | Pharmacist | 4815 Ridge Rd, Douglasville, GA 30134-6142 | 2020-03-24 |
1073146536 | Heather Renee Freeman | Pharmacist | 3875 Chapel Hill Rd, Douglasville, GA 30135-7287 | 2020-02-12 |
1104458777 | Elita Bundrage | Pharmacist | 3875 Chapel Hill Rd, Douglasville, GA 30135-7287 | 2020-02-11 |
1790317808 | Nancy Barrett Tallant | Pharmacist | 3251 Highway 5, Douglasville, GA 30135-2305 | 2020-02-06 |
1245862341 | Courtney Rose Giebler | Pharmacist | 8501 Hospital Dr, Douglasville, GA 30134-2414 | 2020-02-06 |
1477184083 | Christopher Jordan Alava | Pharmacist | 8501 Hospital Dr, Douglasville, GA 30134-2414 | 2020-02-01 |
1275163115 | Olena Tabor | Pharmacist | 8501 Hospital Dr, Douglasville, GA 30134-2414 | 2020-01-20 |
1396385522 | Laura Turner | Pharmacist | 3251 Highway 5, Douglasville, GA 30135-2305 | 2020-01-15 |
Find all providers in DOUGLASVILLE |
City | DOUGLASVILLE |
Zip Code | 30134 |
Please comment or provide details below to improve the information on SUSAN A MILLER.
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.