Individual provider Active NPI

Lauren E Miller, P.A.

  • Physician Assistant
  • Gadsden, AL
National Provider Identifier
1003042078
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA642 Issued in AL
Practice address
407 S 4TH St
Gadsden, AL 35901-5214
Phone
(205) 235-3681
Fax
(205) 977-9976
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA642 AL Primary
Medical Physician Assistant 363AM0700X PA642 AL

Addresses

Primary practice location

407 S 4TH St
Gadsden, AL 35901-5214

Mailing address

1935 E Glenn Ave
Auburn, AL 36830-5998
Phone (334) 539-8049

Other identifiers 1

IdentifierTypeStateIssuer
187745MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000610 AL Practitioner - Physician Assistant 9133275456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

407 S 4TH St
Gadsden, AL 35901-5214
Phone (205) 977-9876

Merit-based Incentive Payment System (MIPS)

Final score
93.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA642ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Nesbitt MD PC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Eric W Baum MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21771/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15689/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9718/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/30220/brand/1/csg/1/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1003042078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305998",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015214",
            "telephone_number": "205-235-3681",
            "fax_number": "205-977-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA642",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187745",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.