Olivia Price Miller

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

24583 Issued in SC

Practice address

705 NTH 8TH Ave
3B
Dillon, SC 29536

Phone

(843) 449-0453

NPI assigned

May 4, 2020

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waccamaw Dermatology LLCGroup PAC ID 7315021169, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005

Merit-based Incentive Payment System (MIPS)

Final score

90.01 of 100Reported as group

Quality

100

Improvement activities

40

Cost

66.69

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omiller@waccamawdermatology.emadirect.md

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

• Waccamaw Dermatology, LLC

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1962449181
  Medicare reassignment Care Compare group NPD
• Coastal Kidney Center PA

  • Nephrology Physician
  • Conway, SC
  • NPI 1801961537
  NPD (past)
• State of South Carolina

  dba SC Department of Public Health

  • Public Health or Welfare Agency
  • Dillon, SC
  • NPI 1073696662
  NPD (past)
• State of South Carolina Comptroller General

  dba Veteran Village

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Medical Center-Dillon

  • General Acute Care Hospital
  • Dillon, SC
  • NPI 1598746141
  Care Compare affiliation

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1023639853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 NTH 8TH AVE",
            "address_2": "3B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362600",
            "telephone_number": "843-449-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NTH 8TH AVE",
            "address_2": "3B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "29536",
            "telephone_number": "843-449-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Waccamaw Medical Park Ct",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268965",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724116",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8170 Rourk St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724127",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "OLIVIA",
        "middle_name": "PRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24583",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "24583",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24583",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "234927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waccamawdermatology.com",
            "affiliation": "N",
            "address_1": "705 Nth 8th Ave",
            "address_2": "3b",
            "city": "Dillon",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Metivier
• Danielle W Michalik, CPSS, SAS
• Mamdouh N Mijalli, MD
• Sterling Miles
• Daniel Walter Miller, Jr, D.M.D.
• Ridgill Long Mims, RN
• Mindful Behavioral Inc
• Benjamin T Mitchell III, MD
• Priscilla Blue Morrison, M.A.
• Rhonda Page Moxey

• Dermatology Physician in Dillon, SC
• Providers in Dillon, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.