Individual provider Active NPI

Julia Renee McDermott Miller, DC

  • Chiropractor
  • Rocky Mount, NC
National Provider Identifier
1013078021
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2612 Issued in NC
Practice address
2747 Sunset Ave
Suite 107
Rocky Mount, NC 27804-3751
Phone
(252) 446-8800
Fax
(252) 446-0080
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2612 NC Primary

Addresses

Primary practice location

2747 Sunset Ave
Suite 107
Rocky Mount, NC 27804-3751

Mailing address

PO Box 7067
Rocky Mount, NC 27804-0067
Phone (252) 446-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127001121 NC Practitioner - Chiropractic 4981758877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller Chiropractic of Rocky Mount, PCGroup PAC ID 4789745985, 2 clinicians

Practice addresses (Care Compare)

2747 Sunset Ave
Suite 107
Rocky Mount, NC 27804-3751
Phone (252) 446-8800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2612NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic of Rocky Mount, PC Chiropractor CurrentSince Jul 1, 2010 Accepting new patients
Miller Chiropractic Group, PA Chiropractor PastSince Feb 20, 2000 Accepting new patients
Smith Chiropractic Group, PLLC Chiropractor PastSince Aug 1, 2021 Accepting new patients

Locations

2747 Sunset Ave
#107
Rocky Mount, NC 27804
Phone (252) 446-8800

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • TN PPO C-SNP
  • TN PPO

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1013078021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7067",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040067",
            "telephone_number": "252-446-8800",
            "fax_number": "252-446-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 SUNSET AVE",
            "address_2": "SUITE 107",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043751",
            "telephone_number": "252-446-8800",
            "fax_number": "252-446-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT MILLER",
        "first_name": "JULIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.