Individual provider Active NPI

William Donald Miller, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Clyde, NC
National Provider Identifier
1073510848
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
200200143 Issued in NC
Practice address
262 Leroy George Dr
Ste M
Clyde, NC 28721-7430
Phone
(828) 452-8369
NPI assigned
Jul 7, 2005
Reactivated
Mar 27, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200200143 NC
Orthopaedic Surgery of the Spine Physician 207XS0117X 200200143 NC Primary

Addresses

Primary practice location

262 Leroy George Dr
Ste M
Clyde, NC 28721-7430

Mailing address

262 Leroy George Dr Ste M
Clyde, NC 28721-7430
Phone (828) 452-8346

Other identifiers 2

IdentifierTypeStateIssuer
89132WCMedicaidNC
132WCOtherNCBLUE CROSS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000929 NC Practitioner - Orthopedic Surgery 0547246027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

581 Leroy George Dr
Suite 380
Clyde, NC 28721-8085
Phone (828) 452-8378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion97
Laminectomy or laminotomy (partial removal of spine bones)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200200143NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Surgery CurrentSince Oct 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 1, 2014 Accepting new patients
WNC Spine Surgery PA Specialist PastSince Apr 20, 2004 Accepting new patients

Locations

262 Leroy George Dr
#M
Clyde, NC 28721
Phone (828) 452-8369

581 Leroy George Dr
Ste 380
Clyde, NC 28721
Phone (828) 452-8378

68 Hospital Rd
Ste 101
Sylva, NC 28779
Phone (828) 452-8378

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

98 Doctors Dr
Ste 310
Sylva, NC 28779
Phone (828) 586-3976

Interoperability endpoints

  • Direct secure messaging: william.miller.1@9865.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1073510848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR STE M",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-452-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "address_2": "STE M",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-452-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200200143",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "200200143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132WC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NC",
            "identifier": "132WC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.