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DR. MARVIN TYRONE MILLER M.D.
NPI 1700886553
Internal Medicine in Jackson, TN

Active since July 22, 2005PECOS Enrolled
620 SKYLINE DR, JACKSON, TN 38301(731) 541-8154(731) 541-6068 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marvin Tyrone Miller M.d. NPPES

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

DR. MARVIN TYRONE MILLER M.D. (NPI 1700886553) is an individual internal medicine provider in Jackson, Tennessee, licensed in Tennessee (MD026576) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700886553
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARVIN TYRONE MILLERCredential: M.D.
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 425-5752 · Fax (731) 425-5783
Phone(731) 541-8154
Fax(731) 541-6068
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateMarch 25, 2015
✔ NPI 1700886553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD026576
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
620 SKYLINE DR, Jackson, TN 38301
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Other Identifiers 4

Medicare PIN103I118338TN
MedicaidQ007372TN
OtherMD026576TN · Medical License
Medicare UPING04204TN

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. Marvin Tyrone Miller 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

ASHLEY BROOKE OLDHAM PORTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-6026
ADAM BOYD VAUGHN
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
MS. JOHNETTA NEWSON OT
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
MORGAN JANAE MASON
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
LYDIA BUTTS PHARMD
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-9295
DR. WILLIAM TYLER HAYDEN M.D.
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 343-0886
COURTNEY BRUSH APRN, FNP
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-6900
BRENDAN MCKINNEY
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-7070

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 Marvin Miller's NPI number?

The NPI number for Marvin Miller is 1700886553. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Marvin Miller located?

Marvin Miller practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-8154.

What is Marvin Miller's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marvin Miller enrolled in Medicare?

Yes. Marvin Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marvin Miller was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.