Active NPI
Holly B Miller, PA-C
- Physician Assistant
- Marietta, OH
National Provider Identifier
1053492686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.008755
- Practice address
- 1106 Colegate Dr
Marietta, OH 45750-1323 - Phone
- (740) 374-7700
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 856 | WV | MD | Occupational Medicine Physician |
| 1118 | SC | MD | Occupational Therapy Assistant |
| 50.008755 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Coast Specialists, LLC | Current | 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
- hmiller967990@direct.hopkinsmedicine.org
- holly.miller@hca5.eclinicaldirectplus.com
- 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.
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- NPI 1154935856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.