Active NPI
Nancy Jane Miller, PA-C
- Physician Assistant
- Tallahassee, FL
National Provider Identifier
1174581243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9101719
- Practice address
- 1264 Metropolitan Blvd
Tallahassee, FL 32312-2536 - Phone
- (850) 383-3382
- NPI assigned
- May 1, 2006
- Last updated
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9101719 | FL | Primary |
Addresses
Primary practice location
1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Mailing address
PO Box 15349
Tallahassee, FL 32317-5349
Phone (850) 383-3300
Other practice location 1
2140 Centerville Pl
Tallahassee, FL 32308-4342
Phone (850) 383-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nancy.millerpac.p1@direct.capitalhealthplan.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004232 | GA | MD | Psychologist |
| PA 9101719 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Surgical Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Tallahassee, FL
- NPI 1770688566
-
- Specialist
- Thomasville, GA
- NPI 1235245184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1174581243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15349",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323175349",
"telephone_number": "850-383-3300",
"fax_number": "850-383-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 METROPOLITAN BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323122536",
"telephone_number": "850-383-3382"
}
],
"practiceLocations": [
{
"address_1": "2140 Centerville Pl",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084342",
"country_code": "US",
"telephone_number": "850-383-3300",
"fax_number": "850-383-3497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "NANCY",
"middle_name": "JANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9101719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nancy.millerpac.p1@direct.capitalhealthplan.nextgenshare.com",
"affiliation": "N",
"address_1": "2140 Centerville Pl",
"city": "Tallahassee",
"state": "FL",
"country_code": "US",
"postal_code": "323084342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.