Laura Jackson Miller (NPI# 1245527902, PAC ID# 2062642358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245527902 |
| PAC ID by PECOS | 2062642358 |
| Professional Enrollment ID | I20140306001392 |
| Full Name | Laura Jackson Miller |
| Organization Legal Name | FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC |
| Address |
104 W Railroad Ave S Crystal Springs MS 39059-2111 |
| Phone Number | 6018923063 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002894706 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251327 | COPIAH COUNTY MEDICAL CENTER |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 | 6018923063 | FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC |
| Organization Legal Name | FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Ervin | Family Medicine | Family Medical Clinic of Crystal Springs Pllc | 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 |
| Jennifer Sojourner | Nurse Practitioner | Family Medical Clinic of Crystal Springs Pllc | 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 |
| Street Address |
104 W RAILROAD AVE S |
| City | CRYSTAL SPRINGS |
| State | MS |
| Zip | 39059-2111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Ervin | Family Medicine | Family Medical Clinic of Crystal Springs Pllc | 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 |
| Jennifer Sojourner | Nurse Practitioner | Family Medical Clinic of Crystal Springs Pllc | 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Grace Tronstad | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Joe Robinson Ross | Urology | Mississippi Urology Clinic Pllc | 123 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Travis Pace | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Roma Peters | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 123 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Kyle Avery Blount | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Alicia K Smith | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| John H Long | Family Practice | Copiah Medical Associates LLP | 123 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Alysia P Newman | Physical Therapy | Enduracare Acute Care Services LLC | 513 W Marion Ave, Enduracare Crystal Springs, Crystal Springs, MS 39059-2748 |
| City | CRYSTAL SPRINGS |
| Zip Code | 39059 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRYSTAL SPRINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Laura Jackson Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.