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Jack W Miller

Adult Mental Health Clinic/Center in Carrollton, GA · enumerated 2006 · authorized official Jack Miller, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982708368

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Registry record

Entity type Organization (Type 2)
Legal business name Jack W Miller
Other name <Unavail>
Practice address 100 Professional Pl, Ste 104, Carrollton, GA, 30117
Phone (770) 830-7039
Fax (770) 830-7149
Enumeration date Sep 7, 2006
Last updated in NPPES Feb 2, 2011

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 044541 (GA) Primary

Authorized official

Name Jack Miller
Title Physician
Phone (770) 830-7039

Other identifiers

Identifier Type State Issuer
000767709C Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Jack W Miller located?
The practice location on file with NPPES is in Carrollton, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-02.