Provider Demographics
NPI:1972511665
Name:GERIATRIC CONSULTING GROUP PC
Entity Type:Organization
Organization Name:GERIATRIC CONSULTING GROUP PC
Other - Org Name:MILLER HEALTH GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-822-3000
Mailing Address - Street 1:132 MAPLE ROW BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4786
Mailing Address - Country:US
Mailing Address - Phone:615-822-3000
Mailing Address - Fax:615-822-0073
Practice Address - Street 1:132 MAPLE ROW BLVD STE 550
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4786
Practice Address - Country:US
Practice Address - Phone:615-822-3000
Practice Address - Fax:615-822-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD7539174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ007027Medicaid
TN3159250Medicare PIN