Individual provider Active NPI

Holly B Miller, PA-C

  • Physician Assistant
  • Marietta, OH
National Provider Identifier
1053492686
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008755 Issued in OH
Practice address
1106 Colegate Dr
Marietta, OH 45750-1323
Phone
(740) 374-7700
NPI assigned
Oct 18, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008755 OH Primary

Addresses

Primary practice location

1106 Colegate Dr
Marietta, OH 45750-1323

Mailing address

511 Wooster St
Marietta, OH 45750-1927
Phone (843) 513-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070712000235 SC Practitioner - Physician Assistant 1951401488
I20240703000279 OH Practitioner - Physician Assistant 1951401488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
856WVMDOccupational Medicine Physician
1118SCMDOccupational Therapy Assistant
50.008755OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coast Specialists, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-7615

Interoperability endpoints

  • Direct secure messaging: hmiller967990@direct.hopkinsmedicine.org
  • Direct secure messaging: holly.miller@hca5.eclinicaldirectplus.com
  • Direct secure messaging: holly.miller@mmhs.medicity.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1053492686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WOOSTER ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501927",
            "telephone_number": "843-513-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-374-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HOLLY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.