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DEVELOPMENTAL BEHAVIORAL PEDIATRICS
NPI 1982708368
Clinic/Center - Adult Mental Health in Carrollton, GA

Active since September 07, 2006
100 PROFESSIONAL PL, STE 104, CARROLLTON, GA 30117(770) 830-7039(770) 830-7149 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Developmental Behavioral Pediatrics NPPES

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

DEVELOPMENTAL BEHAVIORAL PEDIATRICS (NPI 1982708368) is a healthcare organization registered as an adult mental health in Carrollton, Georgia and active in the NPI registry since September 2006. The organization lists Jack W Miller, Physician, as its authorized official.

NPPES Registry Identity

NPI1982708368
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameJACK W MILLER
Location Address100 PROFESSIONAL PL, STE 104Carrollton, GA 30117-3874
Mailing Address100 Professional Pl, Ste 104Carrollton, GA 30117-3874 · (770) 830-7039 · Fax (770) 830-7149
Phone(770) 830-7039
Fax(770) 830-7149
Organization SubpartNo
Authorized OfficialJack W MillerPhysician · (770) 830-7039
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1982708368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in GA · 044541
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
100 PROFESSIONAL PL, Carrollton, GA 30117
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Other Names 1

Doing Business AsDevelopmental Behavioral Pediatrics

Other Identifiers 2

Medicaid000767709CGA
Medicare UPINE61074GA

Other Providers at the Same Location NPPES 19

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

CRNG,LLC
Internal Medicine (Interventional Cardiology)
100 PROFESSIONAL PL, SUITE 303
CARROLLTON, GA 30117
Carroll County (770) 838-8440
DR. LAURA LAMB LARSON MD
Internal Medicine (Infectious Disease)
100 PROFESSIONAL PL, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 812-5837
JACK W MILLER M.D
Pediatrics (Developmental - Behavioral Pediatrics)
100 PROFESSIONAL PL, STE 104
CARROLLTON, GA 30117
Carroll County (770) 830-7039
DR. JACK CREWS M.D.
Internal Medicine
100 PROFESSIONAL PL, SUITE 204
CARROLLTON, GA 30117
Carroll County (770) 384-3351
STEPHEN CHRISTOPHER DUDLEY MD
Psychiatry & Neurology (Psychiatry)
100 PROFESSIONAL PL, 303
CARROLLTON, GA 30117
Carroll County (770) 812-5793
GREGORY BENJAMIN FLOYD M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
JEFFERSON TAYLOR GORDON M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
SIMS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
100 PROFESSIONAL PL, SUITE 101
CARROLLTON, GA 30117
Carroll County (770) 834-4456

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 Jack W Miller's NPI number?

The NPI number for Jack W Miller is 1982708368. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Developmental Behavioral Pediatrics.

Where is Jack W Miller located?

Jack W Miller is located at 100 Professional Pl Ste 104, Carrollton, GA 30117. The listed phone number is (770) 830-7039.

What is Jack W Miller's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Jack W Miller was last updated on February 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.