NPI age
19 years
Enumerated 2006-09-07
● Active Type 2 · Organization
Jack W Miller
Jack W Miller is 1 of 247 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Physician
Last NPPES update
2011-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 247 active clinic/center providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
100 Professional Pl, Ste 104
Carrollton, GA 301173874
Mailing address
100 Professional Pl, Ste 104
Carrollton, GA 301173874
Authorized official
Jack W Miller, MD
Physician
📞 7708307039
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Jack Crews, M.D. Internal Medicine NPI 1295726867
- Stephen Dudley, MD Psychiatry & Neurology NPI 1316111412
- Mary Feldman, MD Dermatology NPI 1396767893
- Gregory Floyd, M.D. Family Medicine NPI 1326066895
- Jefferson Gordon, M.D. Family Medicine NPI 1336167816
- Guy Langlo, DPM Podiatrist NPI 1356341614
- Laura Larson, MD Internal Medicine NPI 1114967387
- Jack Miller, M.D Pediatrics NPI 1275699514
- Charles Morley, N.P. Nurse Practitioner NPI 1548488216
- Emily Norris, LPC Counselor NPI 1629824495
- Mechelle Patrick, FNP-C Nurse Practitioner NPI 1861410342
- Elizabeth Scholl, PA-C Physician Assistant NPI 1972605301
- Stephanie Simmons-Cole, LPC Counselor NPI 1336266691
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000767709C |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Developmental Behavioral Pediatrics
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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