JESSE JULIAN MILLER (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1114373131
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,191 FAMILY PRACTICE in SC
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Provider Addresses for JESSE JULIAN MILLER (M.D.)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303743904
Phone: (803) 296-7320
Fax: (803) 296-7330
Type: Mailing
3209, Colonial Drive, Booker Washington Heights, Columbia, Richland County, South Carolina, 29203, United States
COLUMBIA, SC 292036930
Phone: (803) 434-6113
Fax: (803) 434-7529
Type: Location
143 HOSPITAL DRIVE
STE 112
STATE COLLEGE, PA 168036706
Phone: (800) 243-1455
Fax: (814) 863-7803
Type: Location
500 UNIVERSITY DR
MC CA410
HERSHEY, PA 170332360
Phone: (800) 243-1455
Fax: (717) 531-0119
Type: Mailing
1850 E PARK AVE STE 112
STATE COLLEGE, PA 168036706
Phone: (800) 243-1455
Fax: (814) 863-7803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2022-09-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220907003446 | I | Family Practice | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 26 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 13 | 11 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | PA | |
| Family Practice | PA | |
| Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| Physician Assistant | PA | |
| Internal Medicine | MA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | PA |
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