Individual provider Active NPI

Carrick Miller

  • Physician Assistant
  • Millersburg, OH
National Provider Identifier
1215728845
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8739 Private Road 343
Millersburg, OH 44654-8494
Phone
(330) 600-9953
NPI assigned
May 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8739 Private Road 343
Millersburg, OH 44654-8494

Mailing address

8739 Private Road 343
Millersburg, OH 44654-8494
Phone (330) 600-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001282 OH Practitioner - Physician Assistant 2163918111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Professionals of Holmes County, Inc.Group PAC ID 6002916194, 40 clinicians

Practice addresses (Care Compare)

4900 Oak Streek
Berlin, OH 44610
Phone (330) 674-3000

Hospital & facility affiliations

  • Pomerene Hospital Hospital, Millersburg, OH, CCN 361337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Professionals of Holmes County, Inc CurrentSince Jan 5, 2026 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Jan 5, 2026 Accepting new patients

Locations

420 S Reeves Ave
Ste B
Dover, OH 44622
Phone (330) 364-4461

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1215728845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8739 PRIVATE ROAD 343",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548494",
            "telephone_number": "330-600-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8739 PRIVATE ROAD 343",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548494",
            "telephone_number": "330-600-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.