Individual provider Active NPI

Virginia Miller, CNP

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1275295792
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904949 Issued in MS
Practice address
3037 Corder Dr
Corinth, MS 38834-6216
Phone
(662) 284-8565
NPI assigned
Oct 12, 2021
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 904949 MS Primary

Addresses

Primary practice location

3037 Corder Dr
Corinth, MS 38834-6216

Mailing address

703 Alcorn Dr Ste 109
Corinth, MS 38834-9302
Phone (662) 286-1499

Other practice location 1

703 Alcorn Dr Ste 109
Corinth, MS 38834-9302
Phone (662) 286-1499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mec@magnolia.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211111002924 MS Practitioner - Nurse Practitioner 6709275761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Pain Institute Corinth PLLCGroup PAC ID 5496236499, 5 clinicians

Practice addresses (Care Compare)

3037 Corder Dr
Corinth, MS 38834-6216
Phone (769) 229-3758

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904949MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Spine and Pain Associates PLLC Family CurrentSince Jun 1, 2023 Accepting new patients
Midsouth Spine and Pain Associates PLLC Family CurrentSince Jun 1, 2023 Accepting new patients
Magnolia Regional Health Center CurrentSince Oct 5, 2021 Accepting new patients
Mississippi Pain Institute Corinth PLLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1275295792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR STE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346216",
            "telephone_number": "662-284-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Alcorn Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349302",
            "country_code": "US",
            "telephone_number": "662-286-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mec@magnolia.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "703 Alcorn Dr Ste 109",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388349302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.