MEDICARE: JANELLE MILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	UO3872	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	88903	GA
3	208100000X	Physical Medicine & Rehabilitation Physician	51872	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881003317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE MILLER

Provider Business Mailing Address
First Line	:	1776 WOODSTEAD CT STE 208
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1480
Country	:	US
Telephone Number	:	877-749-7428
Fax Number	:	512-628-3314

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW BLDG 26TH
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-937-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2014
Last Update Date	:	12/01/2025

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Directions to “ JANELLE MILLER ” Practice Location

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