DR. KIM PATRICIA MILLER (PH.D.) – Clinical Psychologist, NPI 1053319947
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. KIM PATRICIA MILLER (PH.D.)
23 WINTHROP DR
SHARPSBURG, GA 302772285
Phone: (347) 204-4629
Fax: (470) 414-1096
Type: Mailing
23 Winthrop Dr
Sharpsburg, GA 302772285
Phone: (347) 204-4629
Fax: (470) 414-1096
Type: Location
3355 LENOX RD NE STE 1000
ATLANTA, GA 303262000
Phone: (770) 284-1044
Type: Location
73, Horton Drive, South Huntington, Huntington, Suffolk County, New York, 11746, United States
HUNTINGTON STATION, NY 117464238
Phone: (347) 204-4629
Fax: (347) 426-4765
Type: Mailing
1160, 5th Avenue, Manhattan Community Board 11, Manhattan, New York County, New York, Stone Street Historic District, New York, 10029, United States
APT 112
NEW YORK, NY 100296933
Phone: (347) 204-4629
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051123000058 | I | Clinical Psychologist | NY | TBD |
| I20250312000660 | I | Clinical Psychologist | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30277)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.