Trudy Blaylock Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C11119 Issued in MS

Practice address

102 Audubon Point Dr
Brandon, MS 39047-6407

Phone

(601) 317-0001

NPI assigned

Dec 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1316801186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 AUDUBON POINT DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476407",
            "telephone_number": "601-317-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 AUDUBON POINT DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476407",
            "telephone_number": "601-317-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRUDY",
        "middle_name": "BLAYLOCK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Middleton
• Charla H Miley, LCSW
• Derrius Terel Miller, DSW, LCSW
• Sarah Miller
• Summer Miller, PMHNP-BC
• Shirley Minor, SLP
• Mississippi Commcare Corporation a Non Profit Corporation (Brandon Community Care Center)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05865)
• Mississippi Dental Center of Brandon, LLC
• Mississippi Em I Medical Services

• Clinical Social Worker in Brandon, MS
• Providers in Brandon, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.