Provider Demographics
NPI:1023380151
Name:MILLER, TONIA T (RN, BS, MSA, MSN)
Entity Type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:T
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN, BS, MSA, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11058 LANDON WAY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-4061
Mailing Address - Country:US
Mailing Address - Phone:678-641-8582
Mailing Address - Fax:770-703-6686
Practice Address - Street 1:11058 LANDON WAY
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-4061
Practice Address - Country:US
Practice Address - Phone:678-641-8582
Practice Address - Fax:770-703-6686
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN185314163W00000X, 163WC0400X, 163WC1500X, 163WC1600X, 163WC2100X, 163WN1003X, 163WP0000X, 163WW0000X, 171M00000X, 363L00000X, 363LG0600X, 372500000X, 363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No372500000XNursing Service Related ProvidersChore Provider
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health