DR. THOMAS DAVIS MILLER III M.D.
NPI 1497804603
Pediatrics - Pediatric Emergency Medicine in Fayetteville, NC

Q: What is Thomas Miller's NPI number?

The NPI number for Thomas Miller is 1497804603. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Thomas Miller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Miller was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 09, 2007PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-8780 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2021, Feb 5, 2021, Jun 11, 2020 (3 updates tracked since 2020).

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About Dr. Thomas Davis Miller Iii M.d. NPPES

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

DR. THOMAS DAVIS MILLER III M.D. (NPI 1497804603) is an individual pediatric emergency medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2010-00914) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1497804603

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. THOMAS DAVIS MILLER IIICredential: M.D.

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · (704) 377-2424 · Fax (704) 377-2687

Phone(910) 615-8780

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateApril 6, 20213 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1497804603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NC · 2010-00914

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 2010-00914 (NC)

1638 OWEN DR, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 1501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · Phone (704) 377-2424 · Fax (704) 377-2687

Other Identifiers 1

Medicaid1497804603NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Davis Miller Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

BARRY M SPIEGEL PA

Physician Assistant