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JACK W MILLER M.D
NPI 1275699514
Pediatrics - Developmental - Behavioral Pediatrics in Carrollton, GA

Active since December 29, 2006
100 PROFESSIONAL PL, STE 104, CARROLLTON, GA 30117(770) 830-7039(770) 830-7149 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack W Miller M.d NPPES

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

JACK W MILLER M.D (NPI 1275699514) is an individual developmental - behavioral pediatrics provider in Carrollton, Georgia, licensed in Georgia (044541) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1275699514
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameJACK W MILLERCredential: M.D
Location Address100 PROFESSIONAL PL, STE 104Carrollton, GA 30117-3874
Mailing Address100 Professional Pl, Ste 104Carrollton, GA 30117-3874 · (770) 830-7039 · Fax (770) 830-7149
Phone(770) 830-7039
Fax(770) 830-7149
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateFebruary 12, 2026
✔ NPI 1275699514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in GA · 044541
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
100 PROFESSIONAL PL, Carrollton, GA 30117
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Other Identifiers 1

Medicaid000767709CGA

Other Providers at the Same Location NPPES 19

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

CRNG,LLC
Internal Medicine (Interventional Cardiology)
100 PROFESSIONAL PL, SUITE 303
CARROLLTON, GA 30117
Carroll County (770) 838-8440
DR. LAURA LAMB LARSON MD
Internal Medicine (Infectious Disease)
100 PROFESSIONAL PL, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 812-5837
DR. JACK CREWS M.D.
Internal Medicine
100 PROFESSIONAL PL, SUITE 204
CARROLLTON, GA 30117
Carroll County (770) 384-3351
STEPHEN CHRISTOPHER DUDLEY MD
Psychiatry & Neurology (Psychiatry)
100 PROFESSIONAL PL, 303
CARROLLTON, GA 30117
Carroll County (770) 812-5793
GREGORY BENJAMIN FLOYD M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
JEFFERSON TAYLOR GORDON M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
SIMS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
100 PROFESSIONAL PL, SUITE 101
CARROLLTON, GA 30117
Carroll County (770) 834-4456
MRS. STEPHANIE DYANE SIMMONS-COLE LPC
Counselor (Professional)
100 PROFESSIONAL PL, SUITE 104
CARROLLTON, GA 30117
Carroll County (770) 830-7039

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 Jack Miller's NPI number?

The NPI number for Jack Miller is 1275699514. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Jack Miller located?

Jack Miller practices at 100 Professional Pl Ste 104, Carrollton, GA 30117. The listed phone number is (770) 830-7039.

What is Jack Miller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Jack Miller was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.