Individual provider Active NPI

Joseph Miller, MD

  • Surgery Physician
  • Clyde, NC
National Provider Identifier
1285783167
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2006-00539 Issued in NC
Practice address
40 Brettwood Trce
Clyde, NC 28721-8021
Phone
(828) 456-8633
Fax
(828) 452-2792
NPI assigned
Jan 9, 2007
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2006-00539 NC Primary
Surgery Physician 208600000X 35.033301 OH
Surgery Physician 208600000X 4301028311 MI
Surgery Physician 208600000X 6633A WY

Addresses

Primary practice location

40 Brettwood Trce
Clyde, NC 28721-8021

Mailing address

35 Facility Dr
Clyde, NC 28721-9438
Phone (828) 452-5042

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000466 NC Practitioner - General Surgery 3678557261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Sunset Ridge Rd
Clyde, NC 28721-8597
Phone (828) 586-7973

98 Doctors Dr
Sylva, NC 28779-4502

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00539NCMDSurgery Physician
35.033301OHMDSurgery Physician
6633AWYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Haywood Regional Medical Center LLC CurrentSince May 1, 2017 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince May 1, 2017 Accepting new patients
DLP Western Carolina Physician Practices LLC Surgery CurrentSince Dec 1, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Dec 1, 2018 Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
FCHC Medical Care, LLC Past Accepting new patients

Locations

127 Sunset Ridge Rd
Clyde, NC 28721
Phone (828) 452-5039

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

262 Leroy George Dr
Fl 7
Clyde, NC 28721
Phone (828) 452-8594

35 Facility Dr
Clyde, NC 28721
Phone (828) 452-5042

40 Brettwood Trce
Clyde, NC 28721
Phone (828) 452-9676

37 Medical Park Loop
Ste 103
Sylva, NC 28779
Phone (828) 586-3976

80 Healthcare Dr
Ste 203
Sylva, NC 28779
Phone (828) 586-5531

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Organizations & group practices 6

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1285783167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-5042",
            "fax_number": "828-452-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-456-8633",
            "fax_number": "828-452-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2006-00539",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.033301",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301028311",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "6633A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.