Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841293560 Individual Practitioner Female Practitioner

Dr. Nicole M Miller , MD

Pediatrics • Gray, TN

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Miller, MD is a registered healthcare professional specializing in Pediatrics in Gray, TN. Practice services are available at 115 JUDGE GRESHAM RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Judge Gresham Rd Ste B

Gray, TN 376156213

Telephone 4234772010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gray, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Gray, TN (1299 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

CMS Verified: 2025-05-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN MD 29248

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1841293560 (VA)
Medicaid State Provider ID
Q003271 (TN)

Secondary Practice Locations

2002 Brookside Dr, Suite 200

Kingsport, TN 376604634

Phone: 4235307970

Practice Associates & Co-Workers

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

2 Associated Practitioners
Wanda Jarrett , NP

Nurse Practitioner

NPI 1184169658

Nurse Practitioner

Melanie Davis

Nurse Practitioner

NPI 1972893139

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location May 19, 2025

Registered at 115 JUDGE GRESHAM RD STE B, GRAY, TN 376156213 (Tel: 4234772010)

📍
Updated Business Mailing Address May 19, 2025

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4239522111)

📍
Updated Business Mailing Address February 20, 2025

Registered at PO BOX 632476, CINCINNATI, OH 452632476 (Tel: 4235307970)

📍
Updated Business Mailing Address March 05, 2020

Registered at 215 E SPRINGBROOK DR, JOHNSON CITY, TN 376011761 (Tel: 4235307970)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2017

Registered at 2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 376604634 (Tel: 4232243933)

📍
Updated Business Mailing Address February 16, 2017

Registered at 2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 376604634 (Tel: 4232243933)

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as NICOLE MILLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Pediatrics (License #MD 29248 in TN)

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2015

Registered at 2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 376604634 (Tel: 4232243933)

📍
Updated Business Mailing Address April 16, 2015

Registered at 2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 376604634 (Tel: 4232243933)

👤
Provider Name / Credentials Updated April 16, 2015

Recorded as NICOLE MILLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Pediatrics (License #MD 29248 in TN)

🟢
Initial NPI Registration & Enumeration May 27, 2005

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: 1841293560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: May 19, 2025
Sole Proprietor: No

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4239522111

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.