Tabitha Miller

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

202 Oak Cir
Walterboro, SC 29488-4640

Phone

(423) 262-3759

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1093486326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OAK CIR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884640",
            "telephone_number": "423-262-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 OAK CIR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884640",
            "telephone_number": "423-262-3759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 OHear Ave Ste 100&200",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294055081",
            "country_code": "US",
            "telephone_number": "423-262-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlands Medtech LLC
• Kyong Milette, MA
• Andrea R. Miley, M.A.
• Ernest Lee Miller II
• Stephen C Miller, M.D.
• Rosie Mincey, NP
• Joann Mingo, BA
• Taylor Mitchell
• Allison Sanders Morgan
• Olivia McSwain Morgan, MSW

• Early Intervention Provider Agency in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.