MILLER FAMILY PRACTICE, LLC.
NPI 1073723680
Family Medicine in Macon, GA

Active since May 23, 2007CLIA 11D0998543 · Waiver
1818 FORSYTH STREET, SUITE 200, MACON, GA 31201(478) 745-7878(478) 745-1636 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miller Family Practice, Llc. NPPES

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

MILLER FAMILY PRACTICE, LLC. (NPI 1073723680) is a healthcare organization registered as a family medicine in Macon, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Conrad N. Miller, President, as its authorized official.

NPPES Registry Identity

NPI1073723680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLER FAMILY PRACTICE, LLC.
Location Address1818 FORSYTH STREET, SUITE 200Macon, GA 31201-1636
Mailing AddressP.o. Box 28170Macon, GA 31221-8170 · (478) 254-5943 · Fax (478) 254-6093
Fax(478) 745-1636
Organization SubpartNo
Authorized OfficialConrad N. MillerPresident · (478) 745-7878
Enumeration DateMay 23, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1073723680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 040962
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License GA 040963 (GA)
1818 FORSYTH STREET, Macon, GA 31201

Other Identifiers 2

OtherDC7439GA · Medicare Railroad
Medicaid000684615GGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miller Family Practice, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Miller Family Practice, LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1629149430
1818 FORSYTH STREET SUITE 200
Macon, GA 31201
(478) 745-1818
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0998543

Miller Family Practice LLC · Macon, GA
Active · expires Mar 11, 2028
CLIA Number11D0998543
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorConrad N. Miller Jr
Laboratory Phone(478) 745-7878
Laboratory LocationMiller Family Practice LLC1818 Forsyth Street, Suite 200, Macon, GA 31201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Miller Family Practice, LLC.'s NPI number?

The NPI number for Miller Family Practice, LLC. is 1073723680. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Miller Family Practice, LLC. located?

Miller Family Practice, LLC. is located at 1818 Forsyth Street Suite 200, Macon, GA 31201. The listed phone number is (478) 745-7878.

What is Miller Family Practice, LLC.'s specialty?

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

Is Miller Family Practice, LLC. enrolled in Medicare?

Yes. Miller Family Practice, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miller Family Practice, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Miller Family Practice, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Miller Family Practice, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0998543) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miller Family Practice, LLC. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.