Active NPI
Susan Miller
- Family Nurse Practitioner
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-110128
- Practice address
- 2929 Cloverdale Rd
Florence, AL 35633-1505 - Phone
- (256) 366-3551
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-110128 | AL | Primary |
Addresses
Primary practice location
2929 Cloverdale Rd
Florence, AL 35633-1505
Mailing address
317 County Road 168
Killen, AL 35645-4529
Phone (256) 366-3551
Other practice location 1
342 Cox Blvd
Sheffield, AL 35660-4020
Phone (256) 383-4473 ext. 2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477040483 | Other | AL | PETERSVILLE FAMILY CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2929 Cloverdale Rd
Unit D
Florence, AL 35633-1505
Phone (256) 275-7125
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- North Alabama Medical Center
- Helen Keller Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-110128 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Price Family Clinic | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Russellville Hospital Inc | Past | Accepting new patients |
Locations
2929 Cloverdale Rd
#D
Florence, AL 35633
Phone (256) 275-7125
2929 Cloverdale Rd
Florence, AL 35633
Phone (256) 366-3551
15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- allstarmom44@pfcl-al.direct.office.nextgen.com
- https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Waterloo, AL
- NPI 1477040483
-
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1033671631
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Decatur, AL
- NPI 1538620984
-
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
-
- Home Health Agency
- Moulton, AL
- NPI 1376572081
-
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1265837769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 COUNTY ROAD 168",
"city": "KILLEN",
"state": "AL",
"postal_code": "356454529",
"telephone_number": "256-366-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 CLOVERDALE RD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356331505",
"telephone_number": "256-366-3551"
}
],
"practiceLocations": [
{
"address_1": "342 Cox Blvd",
"address_purpose": "LOCATION",
"city": "Sheffield",
"state": "AL",
"postal_code": "356604020",
"country_code": "US",
"telephone_number": "256-383-4473 x2080",
"fax_number": "256-381-5232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-110128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PETERSVILLE FAMILY CARE",
"identifier": "1477040483",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.