Active NPI
Lura S Miller, D.O.
- Family Medicine Physician
- Abingdon, VA
National Provider Identifier
1013142850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102204194
- Practice address
- 613 Campus Dr
Suite 200
Abingdon, VA 24210-9703 - Phone
- (276) 628-1186
- Fax
- (276) 628-8507
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4932 | OK | |
| Family Medicine Physician | 207Q00000X | 0102204194 | VA | Primary |
Addresses
Primary practice location
613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Mailing address
613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Phone (276) 628-1186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013142850 | Medicaid | VA | |
| Q014838 | Medicaid | TN |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4932 | OK | MD | Clinical Social Worker |
| 0102204194 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Smyth County Community Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1013142850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 CAMPUS DR",
"address_2": "SUITE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109703",
"telephone_number": "276-628-1186",
"fax_number": "276-628-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 CAMPUS DR",
"address_2": "SUITE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109703",
"telephone_number": "276-628-1186",
"fax_number": "276-628-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LURA",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4932",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102204194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013142850",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q014838",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.