Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275699514 Individual Practitioner Male Practitioner

Dr. Jack W Miller , MD

Pediatrics - Developmental - Behavioral Pediatrics • Carrollton, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jack Miller, MD is a registered healthcare professional specializing in Pediatrics - Developmental - Behavioral Pediatrics in Carrollton, GA. Official NPI practice address is registered at 100 PROFESSIONAL PL.

Practice Location & Contact Primary Location

Practice Address

100 Professional Pl
Ste 104

Carrollton, GA 301173874

Telephone 7708307039
Fax 7708307149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 58.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Carrollton, GA (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics - Developmental - Behavioral Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080P0006X

State License GA 044541

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000767709C (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Stephanie Simmons-Cole , LPC

Counselor - Professional

NPI 1336266691

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2015

Registered at 100 PROFESSIONAL PL, STE 104, CARROLLTON, GA 301173874 (Tel: 7708307039)

📍
Updated Business Mailing Address August 06, 2015

Registered at 100 PROFESSIONAL PL, STE 104, CARROLLTON, GA 301173874 (Tel: 7708307039)

👤
Provider Name / Credentials Updated August 06, 2015

Recorded as JACK MILLER, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Pediatrics (License #044541 in GA)

🟢
Initial NPI Registration & Enumeration December 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275699514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: February 12, 2026
Sole Proprietor: Yes

Mailing Address

100 Professional Pl, Ste 104

Carrollton, GA 301173874

Phone: 7708307039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.