Individual provider Active NPI

Emily Anne Miller

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1053862789
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MPA.2637 TL Issued in SC
Practice address
1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone
(843) 723-6111
Fax
(843) 727-2973
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MPA.2637 TL SC Primary

Addresses

Primary practice location

1033 Saint Andrews Blvd
Charleston, SC 29407-7156

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170405001255 SC Practitioner - Physician Assistant 5294011284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone (843) 534-1770

200 Callen Blvd
Suite 220
Summerville, SC 29486-2808
Phone (843) 723-6111

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2093 Henry Tecklenburg Dr
Charleston, SC 29414-5743

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

300 Callen Blvd
Summerville, SC 29486-2809

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

3508 S Live Oak Dr
Moncks Corner, SC 29461-8737
Phone (843) 789-1800

897 Von Kolnitz Rd
Suite 101
Mt Pleasant, SC 29464-3630
Phone (843) 723-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2637SCMDDentist
MPA.2637 TLSCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Apr 7, 2025 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Apr 7, 2025 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

1033 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 534-1770

2093 Henry Tecklenburg Dr
Ste 307E
Charleston, SC 29414
Phone (843) 207-1760

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

200 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 534-1770

Interoperability endpoints

  • Direct secure messaging: emiller1251612@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1053862789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077156",
            "telephone_number": "843-723-6111",
            "fax_number": "843-727-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "MPA.2637 TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.