NPIMap

Individual provider Active NPI

David T Miller, G.N.P.

  • Gerontology Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1205832995
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
G90136 Issued in SC
Practice address
PO Box 487
Lexington, SC 29071-0487
Phone
(803) 699-9073
Fax
(866) 527-0937
NPI assigned
Jun 27, 2005
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R90136 SC
Gerontology Nurse Practitioner 363LG0600X G90136 SC Primary

Addresses

Primary practice location

PO Box 487
Lexington, SC 29071-0487

Mailing address

PO Box 487
Lexington, SC 29071-0487
Phone (803) 699-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000393 SC Practitioner - Nurse Practitioner 8325016496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health Associates, PAGroup PAC ID 6204739881, 9 clinicians

Practice addresses (Care Compare)

101 N Hermitage Rd
Beaufort, SC 29902-5321
Phone 8036999073170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.72 of 100Reported as group
Quality
60.41
Improvement activities
40
Cost
57.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
90136SCMDInterventional Cardiology Physician
R90136SCMDNurse Practitioner
G90136SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, PA CurrentSince Sep 27, 2004 Accepting new patients
Galen Medical Group, PC PastSince Dec 1, 1993 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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1205832995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290710487",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290710487",
            "telephone_number": "803-699-9073",
            "fax_number": "866-527-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "G.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "R90136",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "G90136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.