Active NPI
Cecily Miller, PA-C
- Physician Assistant
- Durham, NC
National Provider Identifier
1205557527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1198162
- Practice address
- 610 W Morgan St Apt 213
Durham, NC 27701-2175 - Phone
- (814) 853-6085
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1198162 | PA | Primary |
Addresses
Primary practice location
610 W Morgan St Apt 213
Durham, NC 27701-2175
Mailing address
8001A Winchester Dr # 213-1
Raleigh, NC 27612-1831
Phone (814) 853-6085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1198162 | Other | PA | NCCPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
160 NE Maynard Rd
Suite 200
Cary, NC 27513-9671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198162 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1205557527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001A WINCHESTER DR # 213-1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276121831",
"telephone_number": "814-853-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W MORGAN ST APT 213",
"city": "DURHAM",
"state": "NC",
"postal_code": "277012175",
"telephone_number": "814-853-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CECILY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "1198162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1198162",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.