DR. DALLAS MARK MILLER (M.D.) – Surgery Physician, NPI 1184697815

DR. DALLAS MARK MILLER (M.D.) is a healthcare provider. based in Valdosta, Georgia. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 026898 (GA). The NPI Number for DR. DALLAS MARK MILLER (M.D.) is 1184697815

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLAS MARK MILLER (M.D.)
NPI
1184697815
Phone
(229) 242-4996
Address
2704 N OAK ST
Enumeration Date
13 February 2006
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2292424996
Graduation Year
1978 (48 years ago)
PAC ID
1052455649
Group Practice PAC ID
4082036843
Professional Enrollment ID
I20100715000010
Address ID
GA316021780VA2704XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for DR. DALLAS MARK MILLER (M.D.)

  • 2704, North Oak Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    BUILDING F

    VALDOSTA, GA 316021744

    Phone: (229) 242-4996

    Fax: (229) 242-2306

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($39).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-07-15

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
I20100715000010IGeneral SurgeryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5448$0
99212Established patient office or other outpatient visit, 10-19 minutes4139$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 31602)

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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: 4082036843View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Nurse PractitionerGA
Orthopedic SurgeryGA
N E U R O L O G YGA
Pulmonary Disease, Sleep MedicineWI
N E U R O S U R G E R YCA
Family PracticeGA
Thoracic Surgery, General SurgeryGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DALLAS MARK MILLER (M.D.)?
NPI 1184697815 is assigned to DR. DALLAS MARK MILLER (M.D.) under the national enumeration system.
Does this profile mean DR. DALLAS MARK MILLER (M.D.) is currently active?
Yes — DR. DALLAS MARK MILLER (M.D.) appears active in the national provider directory.
Can you summarize DR. DALLAS MARK MILLER (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. DALLAS MARK MILLER (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. DALLAS MARK MILLER (M.D.)?
We surface Valdosta, Georgia for DR. DALLAS MARK MILLER (M.D.) based on available NPPES addresses.
What if Valdosta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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