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Though he doesn't run a hospital, Miller runs the largest independent multi-specialty group practice in Tri-Cities area of Northeast Tennessee and Southwest Virginia (one he founded in 1977). Operates 16 locations (14 offices, 150 providers and 891 total employees), including a surgery center, two diagnostic centers and two rehab centers. HMG is recognized nationally for its use of technology for disease management, clinical research, compliance, quality management and wellness initiatives with major local employers. Miller is one of the most influential businessmen in the Tri-Cities.

In 2002, Douglas joined the Wellmont Health System staff as president of system's flagship, which is also the region's largest hospital with 500 beds, more than 450 physicians and 2,000 nurses, technicians and support staff members. Overseeing "Project Platinum," a $110 million multi-phase expansion and renovation project that includes a larger emergency department, a new intensive care unit and new operating rooms. Major construction began in March 2008 with the largest tower crane erected on the East Coast. Facilities are scheduled to begin opening in late summer and early fall, with full completion of Project Platinum expected in late March 2010. In 2008, Douglas earned "fellow" status in the American College of Healthcare Executives, a feat that 7,500 of 30,000 ACHE members have achieved.

Former chair, TBA's labor and employment section. Won the first Sarbanes-Oxley whistleblower case in the nation, Welch v. Cardinal Bankshares.