Individual provider Active NPI

Joseph Keith Miller, MD

  • Neurology Physician
  • Thomasville, NC
National Provider Identifier
1003861279
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32540 Issued in NC
Practice address
1219 Lexington Ave Ste B
Thomasville, NC 27360
Phone
(336) 481-1880
Fax
(336) 481-1889
NPI assigned
May 24, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 32540 NC Primary

Addresses

Primary practice location

1219 Lexington Ave Ste B
Thomasville, NC 27360

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 481-1880

Other practice location 1

606 N Elm St
High Point, NC 27262-4336
Phone (336) 889-8877

Other practice location 2

606 N Elm St
High Point, NC 27262-4336
Phone (336) 889-8877

Other identifiers 1

IdentifierTypeStateIssuer
8959039MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller141005@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1003861279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LEXINGTON AVE STE B",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "27360",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624336",
            "country_code": "US",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624336",
            "country_code": "US",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "32540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959039",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller141005@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "606 N Elm St",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272624336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.