Individual provider Active NPI

Gina Miller Idol, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, NC
National Provider Identifier
1255217394
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
IDOL-ODMOR Issued in NC
Practice address
600 Indian Wells Cir
Lexington, NC 27295-8674
Phone
(336) 247-1636
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X IDOL-ODMOR NC Primary

Addresses

Primary practice location

600 Indian Wells Cir
Lexington, NC 27295-8674

Mailing address

600 Indian Wells Cir
Lexington, NC 27295-8674
Phone (336) 247-1636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260128000295 NC Practitioner - Nurse Practitioner 6608354162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IDOL-ODMORNCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Psychiatric and Counseling Center PA Single Specialty CurrentSince Dec 23, 2025 Accepting new patients

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Davidson County North Carolina IncLexington, NC, CCN 341553 Hospice Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1255217394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INDIAN WELLS CIR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958674",
            "telephone_number": "336-247-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INDIAN WELLS CIR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958674",
            "telephone_number": "336-247-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOL",
        "first_name": "GINA",
        "middle_name": "MILLER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "IDOL-ODMOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.