Individual provider Active NPI

Corin Kelly Miller, FNP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1225714355
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187863 Issued in VA
Practice address
101 Aubreys Loop
South Boston, VA 24592-5054
Phone
(434) 517-3879
Fax
(434) 517-3989
NPI assigned
Jun 23, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187863 VA Primary

Addresses

Primary practice location

101 Aubreys Loop
South Boston, VA 24592-5054

Mailing address

101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-3879

Other practice location 1

201 S Main St Ste 1100
Danville, VA 24541-2938
Phone (910) 489-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230908003312 VA Practitioner - Nurse Practitioner 9638533649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Regional Hospital IncGroup PAC ID 4587572805, 27 clinicians

Practice addresses (Care Compare)

101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-8627

115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024187863VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc CurrentSince Aug 1, 2024 Accepting new patients
Danville Physician Practices LLC CurrentSince Sep 3, 2023 Accepting new patients
Halifax Regional Hospital, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Danville Physician Practices LLC CurrentSince Sep 3, 2023 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

115 College St
Clarksville, VA 23927
Phone (434) 374-5344

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

201 S Main St
Ste 1100
Danville, VA 24541
Phone (434) 791-3009

101 Aubreys Loop
South Boston, VA 24592
Phone (434) 517-3879

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Interoperability endpoints

  • Direct secure messaging: cmiller997309@direct.sentara.net
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 5

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 2

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1225714355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUBREYS LOOP",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925054",
            "telephone_number": "434-517-3879",
            "fax_number": "434-517-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUBREYS LOOP",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925054",
            "telephone_number": "434-517-3879",
            "fax_number": "434-517-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Main St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245412938",
            "country_code": "US",
            "telephone_number": "910-489-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CORIN",
        "middle_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.