LISA D MILLER MD PEDIATRICS PC
NPI 1659352185
Pediatrics in Covington, GA

Q: What is Lisa D Miller MD Pediatrics PC's NPI number?

The NPI number for Lisa D Miller MD Pediatrics PC is 1659352185. It was assigned to this organization in the NPPES registry on November 10, 2005.

Q: What is Lisa D Miller MD Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 10, 2005CLIA 11D0992303 · Waiver

4152 BAKER ST NE, COVINGTON, GA 30014(770) 788-1077(770) 788-0768 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa D Miller Md Pediatrics Pc NPPES

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

LISA D MILLER MD PEDIATRICS PC (NPI 1659352185) is a healthcare organization registered as a pediatrics in Covington, Georgia and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Lisa Dawn Miller, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1659352185

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLISA D MILLER MD PEDIATRICS PC

Location Address4152 BAKER ST NECovington, GA 30014-1404

Mailing Address4152 Baker St NeCovington, GA 30014-1404 · (770) 788-1077 · Fax (770) 788-0768

Phone(770) 788-1077

Fax(770) 788-0768

Organization SubpartNo

Authorized OfficialLisa Dawn MillerOwner/physician · (770) 788-1077

Enumeration DateNovember 10, 2005

Last NPPES UpdateSeptember 16, 2008

✔ NPI 1659352185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 013449

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4152 BAKER ST NE, Covington, GA 30014

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Other Identifiers 3

Other581934GA · Bcbs

Medicaid00618945DGA

Medicaid00618945EGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D0992303

Lisa D Miller MD Pediatrics · Covington, GA

Active · expires Apr 27, 2028

CLIA Number11D0992303

Laboratory TypePhysician Office

Certificate Effective DateApril 28, 2026

Certificate Expiration DateApril 27, 2028

Laboratory DirectorLisa D. Miller MD

Laboratory Phone(770) 788-1077

Laboratory LocationLisa D Miller MD Pediatrics4152 Baker Street, Covington, GA 30014

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SAMANTHA JOI TAIT DNP, CPNP-PC

Nurse Practitioner (Pediatrics)