Healthcare Provider Details

I. General information

NPI: 1275735516
Provider Name (Legal Business Name): VERNON A. MILLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 KIRBY PKWY STE 100
GERMANTOWN TN
38138-3653
US

IV. Provider business mailing address

2274 DOGWOOD MEADOWS CV
GERMANTOWN TN
38139-6709
US

V. Phone/Fax

Practice location:
  • Phone: 901-624-6885
  • Fax:
Mailing address:
  • Phone: 901-754-1780
  • Fax: 901-752-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMD0000025954
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberMD0000025954
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: