SHELLY J MILLER (NPI# 1619576089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619576089 |
| Entity Type | Individual |
| Full Name | SHELLY J MILLER |
| Credential | PHARMD |
| Practice Address |
1205 N Glenwood Ave Dalton GA 30721-2603 |
| Mailing Address |
920 Deer Run Trl Nw Cleveland TN 37311-1176 |
| Practice Telephone | 7062267033 |
| Practice Fax Number | 7062729365 |
| Mailing Telephone | 5023863517 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
027114 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780009761 | Shelly Miller | Social Worker | 5875 State Route 193, Kingsville, OH 44048-9794 | 2014-02-27 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1033305651 | Shelly Miller | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2007-09-18 |
| 1841763075 | Shelly Weber Miller | Registered Nurse | 2632 E St Ste H, Washougal, WA 98671-1714 | 2019-01-10 |
| 1225481476 | Shelly Rose Miller | Nurse Practitioner | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2016-07-22 |
| 1659763753 | Shelly Miller | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2015-02-26 |
| 1942615745 | Shelly D Miller | Registered Nurse | 3322 Broadway, 2 South, Everett, WA 98201-4425 | 2014-07-01 |
| 1982993358 | Shelly A Miller | Internal Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2011-04-06 |
| 1700196722 | Shelly Ann Miller | Occupational Therapy Assistant | 127 E State St, Gloversville, NY 12078-1204 | 2010-10-08 |
| 1235387325 | Shelly Ann Miller | Internal Medicine | 25 June Street, Suite 111, Sanford, ME 04073 | 2008-09-03 |
| Street Address |
1205 N GLENWOOD AVE |
| City | DALTON |
| State | GA |
| Zip Code | 30721-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962831453 | Amir Parsad | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2013-11-05 |
| 1891328654 | Jennifer Lynn Cooper | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| 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 |
|---|---|---|---|---|
| 1891328654 | Jennifer Lynn Cooper | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2020-02-19 |
| 1689214827 | Tara Nicole Taylor Ayers | Pharmacist | 1365 W Walnut Ave, Dalton, GA 30720-3857 | 2020-01-15 |
| 1912455353 | Joyce Longley-newby | Pharmacist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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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.