Individual provider Active NPI

Bertha Taylor-Miller, FNP

  • Family Nurse Practitioner
  • Aberdeen, NC
National Provider Identifier
1285690222
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201746 Issued in NC
Practice address
211 Bonnie Brook Rd
Aberdeen, NC 28315
Phone
(910) 716-0099
Fax
(910) 405-1359
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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 201746 NC Primary

Addresses

Primary practice location

211 Bonnie Brook Rd
Aberdeen, NC 28315

Mailing address

211 Bonnie Brook Rd
Aberdeen, NC 28315-3125
Phone (910) 716-0099

Other identifiers 1

IdentifierTypeStateIssuer
7003729MedicaidNC

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
I20040408001384 NC Practitioner - Nurse Practitioner 4284628751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

211 Bonnie Brook Rd
Aberdeen, NC 28315-3125
Phone (910) 716-0099

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201746NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duplin Medical Association Inc PastSince Feb 24, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bertha.taylor-miller.2@1905.direct.athenahealth.com

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 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1285690222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BONNIE BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153125",
            "telephone_number": "910-716-0099",
            "fax_number": "910-405-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BONNIE BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "28315",
            "telephone_number": "910-716-0099",
            "fax_number": "910-405-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-MILLER",
        "first_name": "BERTHA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

Verify at the official NPI Registry.