JERRY MILLER MD
NPI 1053315697
Family Medicine in Kingsport, TN

Q: What is Jerry Miller's NPI number?

The NPI number for Jerry Miller is 1053315697. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is Jerry Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Miller was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2005

105 W STONE DR, STE 3A, KINGSPORT, TN 37660(423) 392-6200 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry Miller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY MILLER MD (NPI 1053315697) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (MD 5663) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1053315697

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJERRY MILLERCredential: MD

Location Address105 W STONE DR, STE 3AKingsport, TN 37660-3256

Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070

Phone(423) 392-6200

Sole ProprietorNo

Enumeration DateJune 10, 2005

Last NPPES UpdateSeptember 22, 2009

✔ NPI 1053315697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · MD 5663✔ Licensed in VA · 0101017451

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

105 W STONE DR, Kingsport, TN 37660

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Other Identifiers 10

Medicare ID-Type Unspecified5622123VA

Medicare PIN0281780001TN

Medicare PIN0281780003TN

Medicare ID-Type Unspecified080007734VA

Medicare ID-Type Unspecified3173496TN

Medicare UPINB03597

Medicare UPIN103I086169TN

Medicare PINCC0450TN

Medicaid3173496TN

Medicare PIN080019148TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DALLAS SHONE MD

Internal Medicine (Gastroenterology)

105 W STONE DR, STE 4C
KINGSPORT, TN 37660

Sullivan County (423) 578-1595

DR. EDWARD MONTY STIRMAN M.D.

Family Medicine

105 W STONE DR, STE 3A
KINGSPORT, TN 37660

Sullivan County (423) 323-6200

DR. CHERYL STANSKI MD

Surgery

105 W STONE DR, STE 4A
KINGSPORT, TN 37660

Sullivan County (423) 392-6265

DR. SCOTT FOWLER M.D.

Obstetrics & Gynecology

105 W STONE DR, STE 2B
KINGSPORT, TN 37660

Sullivan County (423) 247-7500

HOLSTON MEDICAL GROUP, PC

Durable Medical Equipment & Medical Supplies

105 W STONE DR, STE 3A
KINGSPORT, TN 37660

Sullivan County (423) 392-6200

DR. JAMES MCCOY M.D.

Family Medicine

105 W STONE DR, STE 1F
KINGSPORT, TN 37660

Sullivan County (276) 386-5980

ABRAM ARWOOD PT, DPT

Physical Therapist

105 W STONE DR, STE 1D
KINGSPORT, TN 37660

Sullivan County (423) 578-1560

DR. ASHRAF MOHAMED YOUSSEF M.D.

Orthopaedic Surgery

105 W STONE DR, STE 4B
KINGSPORT, TN 37660

Sullivan County (423) 578-1570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Miller's NPI number?

The NPI number for Jerry Miller is 1053315697. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Jerry Miller located?

Jerry Miller practices at 105 W Stone Dr Ste 3A, Kingsport, TN 37660. The listed phone number is (423) 392-6200.

What is Jerry Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Miller was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.