| Dr Kevin Garrett Miller, MD | |
|
960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | |
| (678) 928-9759 | |
| (678) 928-9759 |
| Full Name | Dr Kevin Garrett Miller |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093764425 | NPI | - | NPPES |
| 805644863 | Medicaid | GA | |
| GRP1205 | Other | GA | GROUP MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 056198 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Fairview Park Hospital | Dublin, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology Services Pc | 3577454024 | 54 |
| Summit Imaging Services Llc | 9436597945 | 39 |
| Entity Name | Toccoa Clinic Medical Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609896885 PECOS PAC ID: 5597652164 Enrollment ID: O20040301000262 |
| Entity Name | Summit Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20040323001388 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Entity Name | Tanner Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1154820876 PECOS PAC ID: 8325475056 Enrollment ID: O20200219000803 |
| Entity Name | Summit Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134984982 PECOS PAC ID: 9436597945 Enrollment ID: O20240403001695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Garrett Miller, MD Po Box 200096, Cartersville, GA 30120-9002 Ph: (678) 928-9759 | Dr Kevin Garrett Miller, MD 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 Ph: (678) 928-9759 |
Dr. Derek Brett Pollard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 678-928-9759 Fax: 678-928-9759 | |
Adam Kyle Deal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-386-1530 Fax: 770-607-1019 | |
Dr. Daniel Andrew Ortiz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 678-905-7053 | |
Dr. Robert E Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 678-928-9759 Fax: 678-928-9759 | |
Dr. James Darrell Darling, MD Radiology Medicare: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-607-7339 Fax: 770-607-0789 | |
Dr. Qiao Zhou, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10 Bowen Ct, Cartersville, GA 30120 Phone: 707-607-7339 Fax: 410-354-0186 |