Individual provider Active NPI

Paul Robbie Miller, DC

  • Chiropractor
  • Edenton, NC
National Provider Identifier
1114088119
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2613 Issued in NC
Practice address
300 Virginia Rd Ste D
Edenton, NC 27932-9553
Phone
(252) 482-4499
Fax
(252) 482-1077
NPI assigned
Dec 13, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2613 NC Primary

Addresses

Primary practice location

300 Virginia Rd Ste D
Edenton, NC 27932-9553

Mailing address

300 Virginia Rd Ste D
Edenton, NC 27932-9553
Phone (252) 482-4499

Other identifiers 1

IdentifierTypeStateIssuer
1669624540OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000413 NC Practitioner - Chiropractic 9830144245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller Chiropractic Group, PAGroup PAC ID 7214080258, 2 clinicians

Practice addresses (Care Compare)

300 Virginia Rd
Suite D
Edenton, NC 27932-9553
Phone (252) 482-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic Group, PA Chiropractor CurrentSince Feb 20, 2000 Accepting new patients
Smith Chiropractic Group, PLLC Chiropractor PastSince Aug 1, 2021 Accepting new patients
Washington Chiropractic Group, PC Chiropractor PastSince Aug 1, 2008 Accepting new patients

Locations

300 Virginia Rd
Ste D
Edenton, NC 27932
Phone (252) 482-4499

300 Virginia Rd
Ste H
Edenton, NC 27932
Phone (252) 482-4499

300 Virginia Rd
Ste J
Edenton, NC 27932
Phone (252) 482-4499

744 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-9600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1114088119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VIRGINIA RD STE D",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329553",
            "telephone_number": "252-482-4499",
            "fax_number": "252-482-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VIRGINIA RD STE D",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329553",
            "telephone_number": "252-482-4499",
            "fax_number": "252-482-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAUL",
        "middle_name": "ROBBIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669624540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.