MR. ANTONIO MILLER RN
NPI 1679041107
Nurse Practitioner - Family in Camilla, GA

Active since November 02, 2018PECOS EnrolledAccepts Medicare Assignment
94 E OAKLAND AVE STE A, CAMILLA, GA 31730(229) 336-9769 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2019, Nov 2, 2018 (2 updates tracked since 2018).

About Mr. Antonio Miller Rn NPPES

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

MR. ANTONIO MILLER RN (NPI 1679041107) is an individual family provider in Camilla, Georgia, licensed in Georgia (RN153026) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679041107
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ANTONIO MILLERCredential: RN
Location Address94 E OAKLAND AVE STE ACamilla, GA 31730-1529
Mailing Address94 E Oakland Ave Ste ACamilla, GA 31730-1529 · (229) 336-9769
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 2, 2018
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
NPI 1679041107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN153026
94 E OAKLAND AVE STE A, Camilla, GA 31730

Secondary Practice Location 1

Location 12027 W Broad AveAlbany, GA 31707-4124 · Phone (229) 449-6671

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Antonio Miller Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557794187
PECOS Enrollment IDI20191211003010
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
94 E OAKLAND AVE STE A
CAMILLA, GA 31730

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 Antonio Miller's NPI number?

The NPI number for Antonio Miller is 1679041107. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Antonio Miller located?

Antonio Miller practices at 94 E Oakland Ave Ste A, Camilla, GA 31730. The listed phone number is (229) 336-9769.

What is Antonio Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonio Miller enrolled in Medicare?

Yes. Antonio Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Antonio Miller accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Antonio Miller 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 Antonio Miller was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.