Individual provider Active NPI

Lacy Henry Miller, DNP, PMHNP-BC, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1326030792
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201376 Issued in NC
Practice address
284 Executive Park Dr
Concord, NC 28025-1831
Phone
(704) 939-1100
NPI assigned
Aug 22, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201376 NC Primary

Addresses

Primary practice location

284 Executive Park Dr
Concord, NC 28025-1831

Mailing address

901 Jones Franklin Rd
Ste 101
Raleigh, NC 27606-5441
Phone (336) 633-7000

Other practice location 1

4000 Wake Forest Rd
Raleigh, NC 27609-6879
Phone (919) 865-8732

Other identifiers 2

IdentifierTypeStateIssuer
6005036MedicaidNC
2632201OtherUNITED HEALTHCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address integratedcare@direct.daymarkrecovery.nextgenshare.com Direct

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
I20041103001316 NC Practitioner - Nurse Practitioner 1355303025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

704 Old Lilesville Rd
Wadesboro, NC 28170-2820
Phone (704) 694-6588

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. CurrentSince Nov 26, 2013 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Aug 22, 2018 Accepting new patients

Locations

943 W Andrews Ave
Ste H
Henderson, NC 27536
Phone (252) 433-0061

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450

5509 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 573-6520

335 County Home Rd
Reidsville, NC 27320
Phone (336) 725-8389

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

704 Old Lilesville Rd
Wadesboro, NC 28170
Phone (704) 694-6588

650 Highland Ave
Ste 120
Winston Salem, NC 27101
Phone (336) 713-6111

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Interoperability endpoints

  • Direct secure messaging: lacy.miller.p1@direct.daymarkrecovery.nextgenshare.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, 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1326030792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JONES FRANKLIN RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065441",
            "telephone_number": "336-633-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251831",
            "telephone_number": "704-939-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wake Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096879",
            "country_code": "US",
            "telephone_number": "919-865-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LACY",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005036",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2632201",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "284 Executive Park Dr",
            "address_2": "Suite 100",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.