MILLER COUNTY MEDICAL CENTER
NPI 1528110103
Clinic/Center - Rural Health in Colquitt, GA

Active since January 17, 2007CLIA 11D0666859 · Waiver
208 NORTH CUTHBERT ST, COLQUITT, GA 39837(229) 758-3304(229) 758-6622 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miller County Medical Center NPPES

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

MILLER COUNTY MEDICAL CENTER (NPI 1528110103) is a healthcare organization registered as a rural health in Colquitt, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Robin A Rau, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528110103
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTHE HOSPITAL AUTHORITY OF MILLER COUNTY
Location Address208 NORTH CUTHBERT STColquitt, GA 39837
Mailing Address209 North Cuthbert St, Po Box 7Colquitt, GA 39837 · (229) 758-3304 · Fax (229) 758-6622
Fax(229) 758-6622
Organization SubpartNo
Authorized OfficialRobin A RauCeo · (229) 758-5954
Enumeration DateJanuary 17, 2007
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
NPI 1528110103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in GA · 100118
208 NORTH CUTHBERT ST, Colquitt, GA 39837

Other Names 1

Doing Business AsMiller County Medical Center

Other Identifiers 1

Medicaid0000014821GA

Accepted Insurance

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 11D0666859

Miller County Medical Center · Colquitt, GA
Active · expires Mar 13, 2027
CLIA Number11D0666859
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDr. John D. Pham
Laboratory Phone(229) 758-3304
Laboratory LocationMiller County Medical Center208 N Cuthbert Street, Colquitt, GA 39837
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 The Hospital Authority Of Miller County's NPI number?

The NPI number for The Hospital Authority Of Miller County is 1528110103. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Miller County Medical Center.

Where is The Hospital Authority Of Miller County located?

The Hospital Authority Of Miller County is located at 208 North Cuthbert St, Colquitt, GA 39837. The listed phone number is (229) 758-3304.

What is The Hospital Authority Of Miller County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does The Hospital Authority Of Miller County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0666859) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Hospital Authority Of Miller County accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list The Hospital Authority Of Miller County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Hospital Authority Of Miller County was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.