MR. ANTONIO MILLER RN
NPI 1679041107
Nurse Practitioner - Family in Camilla, GA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Antonio Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camilla, GA 31730
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Camilla, GA 31730
- Reassigned Medicare billing, Georgia enrollment
Dublin, GA 31021
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Antonio Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Miller reassigns Medicare benefits to 3 organizations: Three Rivers Recovery And Wellness LLC (Camilla, GA), Mitchell County Pediatrics And Health Center (Camilla, GA) and 1st Genesis Treatment Center Inc (Dublin, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Antonio Miller, RN · NPI 1679041107
Family physician in Camilla, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2018.
## Identity
- **NPI:** 1679041107 (Entity type: Individual)
- **Enumerated:** November 2, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN153026 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 94 E OAKLAND AVE STE A, Camilla, GA 31730-1529
- **Phone:** (229) 336-9769
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Three Rivers Recovery And Wellness LLC (NPI 1699664060, Camilla, GA); Mitchell County Pediatrics And Health Center (NPI 1568117737, Camilla, GA); 1st Genesis Treatment Center Inc (NPI 1265277073, Dublin, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679041107) · Data from the CMS NPPES public registry.