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

Jerry Miller, MD

Individual provider Family Medicine Physician · NPI 1053315697

Jerry Miller, MD is a Family Medicine Physician in Kingsport, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2005.

Licensed in
TN, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 W Stone Dr Ste 3A
Kingsport, TN 37660-3256
Phone: (423) 392-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD 5663 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101017451 (VA)

Record details

NPI number1053315697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESSeptember 22, 2009

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