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Isaac T Miller

Physician β€’ Augusta, GA

Deactivated NPI 1720345598 Deactivated in NPPES Male Practitioner
Practice location in NPPES

1916 Ohio Ave
Augusta, GA 309045329

Phone: 7067367881

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 26, 2024; the reason is not published. The records below are historical. They do not show whether Isaac Miller currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 18, 2012
NPI Deactivation Date June 26, 2024
NPI Active Period 2012 – 2024

Practice Location & Contact Primary Location

Practice Address

1916 Ohio Ave

Augusta, GA 309045329

Telephone 7067367881
Organization at the Same NPPES Address or Phone
Renee's Personal Care Home, Llc Facility NPI 1821392572

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Augusta and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 26, 2024

NPPES lists this NPI as deactivated as of June 26, 2024; the reason is not published.

βœ…
NPI Profile Active April 18, 2012

NPI status registered as active in NPPES database

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Practice Location (Initial Record) April 18, 2012

Registered at 1916 OHIO AVE, AUGUSTA, GA 309045329 (Tel: 7067367881)

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Business Mailing Address (Initial Record) April 18, 2012

Registered at 3421 MIKE PADGETT HWY, AUGUSTA, GA 309063815 (Tel: 7064327893)

πŸ‘€
Provider Name / Credentials (Initial Record) April 18, 2012

Recorded as ISAAC MILLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2012

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟒
Initial NPI Registration & Enumeration April 18, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720345598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2012
Last Update: April 18, 2012
Deactivation Date: June 26, 2024

Mailing Address

3421 Mike Padgett Hwy

Augusta, GA 309063815

Phone: 7064327893

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.