Abby Jolie Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

343997 Issued in LA

Practice address

3824 NE Evangeline Trwy
Carencro, LA 70520-5966

Phone

(337) 565-2675

NPI assigned

Oct 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Physician Assistant

Education

Louisiana State University School of Medicine in Shreveport, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1083434104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NE EVANGELINE TRWY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205966",
            "telephone_number": "337-565-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NE EVANGELINE TRWY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205966",
            "telephone_number": "337-565-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ABBY",
        "middle_name": "JOLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "343997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Melancon III, RPH
• Elizabeth Jeanne Melancon, CPHT
• Jennifer Melancon, LMT
• Amy Ann Meneses, LCSW, C-SSWS
• Michele Lavergne DDS
• Mitzi Nicole Miller, MS, CCC-SLP
• MLG Wellness & Caring Services
• Tracie Lynn Montoucet, PHARM. D
• Lillian Moreau
• David Lee Mouton, CNIM

• Physician Assistant in Carencro, LA
• Providers in Carencro, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.