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

Jack W Miller, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1275699514

Jack W Miller, MD is a Developmental - Behavioral Pediatrics Physician in Carrollton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Professional Pl Ste 104
Carrollton, GA 30117-3874
Phone: (770) 830-7039
Fax: (770) 830-7149
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 044541 (GA)

Record details

NPI number1275699514
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESFebruary 12, 2026
Mailing address100 Professional Pl, Ste 104, Carrollton, GA 30117-3874