DR. CARLY J MILLER (M.D.) – Psychiatry Physician, NPI 1619180411

DR. CARLY J MILLER (M.D.) is a healthcare provider. based in Orange park, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME103067 (FL). The NPI Number for DR. CARLY J MILLER (M.D.) is 1619180411

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLY J MILLER (M.D.)
NPI
1619180411
Phone
(904) 282-6331
Address
705 WELLS RD STE 300
Enumeration Date
8 May 2007
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
9044683080
Graduation Year
2005 (21 years ago)
PAC ID
4981757143
Group Practice PAC ID
1254238579
Professional Enrollment ID
I20090805000477
Address ID
FL320973240YU46338RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

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Provider Addresses for DR. CARLY J MILLER (M.D.)

  • 705 WELLS RD STE 300

    ORANGE PARK, FL 320732982

    Phone: (904) 282-6331

    Fax: (904) 619-1080

    Type: Mailing

  • Springfield Lake Road Park, 419, Springfield Lake, Middle Sackville, Halifax Regional Municipality, Halifax County, Nova Scotia, B4E 3K2, Canada

    MIDDLEBURG, FL 320685708

    Phone: (904) 282-6331

    Fax: (904) 282-4117

    Type: Mailing

  • 1865, Lime Street, Fernandina Beach, Nassau County, Florida, 32034, United States

    SUITE 100

    FERNANDINA BEACH, FL 320344744

    Phone: (904) 321-8400

    Fax: (904) 321-8401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,468.

Total Amount is formed as General ($1,468) + Research ($0) + Ownership ($0) = $1,468.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($420).

Total Amount

$1,468

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090805000477IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes526218$0
99214Established patient office or other outpatient visit, 30-39 minutes403228$0
90833Psychotherapy with evaluation and management visit, 30 minutes307198$0
90837Psychotherapy, 1 hour30741$0
90834Psychotherapy, 45 minutes6223$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Provider's Procedures

DR. CARLY J MILLER (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member7524

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254238579View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. CARLY J MILLER (M.D.)?
The registry entry for DR. CARLY J MILLER (M.D.) shows NPI 1619180411.
Should I treat DR. CARLY J MILLER (M.D.) as an active provider?
Patients and plans typically see DR. CARLY J MILLER (M.D.) as active in the national extract.
What services align with DR. CARLY J MILLER (M.D.)'s listing?
DR. CARLY J MILLER (M.D.)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CARLY J MILLER (M.D.)?
The directory associates DR. CARLY J MILLER (M.D.) with Orange Park, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. CARLY J MILLER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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