Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael S. Miller, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1104816941

Dr. Michael S. Miller, DPM is a Podiatry in Austell, Georgia. Graduated from California School of Podiatric Medicine in 1994, 32 years ago. Practices with Village Podiatry Group LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
California School of Podiatric Medicine
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1610 Mulkey Rd
Austell, GA 30106-1182
Phone: (770) 941-3633
Fax: (770) 874-8950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD000776 (GA)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence POD000776 (GA)

Record details

NPI number1104816941
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing addressPo Box 108, Dallas, GA 30132-0003

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice Village Podiatry Group Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare