Kimberly W. Miller, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R858593 Issued in MS

Practice address

2500 North State Street
Department of Medicine/Division of Cardiology
Jackson, MS 39216-4500

Phone

(601) 984-5630

NPI assigned

Jul 12, 2006

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MS

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.38 of 100Reported as group

Quality

54.22

Promoting interoperability

100

Improvement activities

40

Cost

73.72

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

67.75

Promoting interoperability

100

Improvement activities

40

Cost

71.17

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmiller589992@direct.bmhcc.org

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.

• Medical Foundation of Central Mississippi, Inc.

  dba Baptist Medical Clinics

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1992774814

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Medical Foundation of Central Ms

  dba Baptist Medical Clinic-Brandon

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1114264264
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Baptist Medical Center-Leake, Inc

  dba BMC Leake Sebastopol Primary Care

  • Rural Health Clinic/Center
  • Walnut Grove, MS
  • NPI 1649546342
  NPD (past)
• Baptist Medical Center-Leake, Inc.

  dba BMC Leake Carthage Primary Care

  • Rural Health Clinic/Center
  • Carthage, MS
  • NPI 1194861260
  NPD (past)
• Medical Foundation of Central Ms Inc

  dba Baptist PT-Belhaven

  • Physical Therapist
  • Jackson, MS
  • NPI 1902346364
  NPD (past)
• University Internal Medicine Assoc LLP

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1083656870
  NPD (past)
• University Radiation Oncology Consultants, PLLC

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1316026818
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1073548350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5678",
            "fax_number": "601-984-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "address_2": "DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-352-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392088712",
            "country_code": "US",
            "telephone_number": "601-825-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1887 Spillway Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390476066",
            "country_code": "US",
            "telephone_number": "601-992-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 W Government St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423024",
            "country_code": "US",
            "telephone_number": "601-825-1936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7275 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729767",
            "country_code": "US",
            "telephone_number": "601-373-7722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102012",
            "country_code": "US",
            "telephone_number": "601-973-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park St",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896526",
            "country_code": "US",
            "telephone_number": "601-253-0173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564730",
            "country_code": "US",
            "telephone_number": "601-924-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Lexington Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106952",
            "country_code": "US",
            "telephone_number": "601-973-1688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2173 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106309",
            "country_code": "US",
            "telephone_number": "601-605-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324405",
            "country_code": "US",
            "telephone_number": "601-992-3288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 Old Canton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392112946",
            "country_code": "US",
            "telephone_number": "601-957-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste Ll-10",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-973-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Pearson Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392085635",
            "country_code": "US",
            "telephone_number": "601-968-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102010",
            "country_code": "US",
            "telephone_number": "601-973-1504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-751-8289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903209",
            "country_code": "US",
            "telephone_number": "601-969-6404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 THAGGARD RD",
            "address_purpose": "LOCATION",
            "city": "MADDEN",
            "state": "MS",
            "postal_code": "39109",
            "country_code": "US",
            "telephone_number": "601-267-1320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Highway 49 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189438",
            "country_code": "US",
            "telephone_number": "601-973-1576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "W.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R858593",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "R858593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191396",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "RR 500030301",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01236769",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126138",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldstine D Miller, NP
• Imani Miller, LPC
• James Strickland Miller, NP-C
• Jamie Faye Miller, CNNP
• Jeffry Scott Miller, PHARM.D
• Leeah E Miller, BSN,RN
• Mackenzie Lynn Miller, MD
• Mary Catherine Miller
• Shailyn Miller
• Sienna Miller, PHARMD

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.