Active NPI
Lacy Henry Miller, DNP, PMHNP-BC, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201376
- Practice address
- 284 Executive Park Dr
Concord, NC 28025-1831 - Phone
- (704) 939-1100
- NPI assigned
- Aug 22, 2005
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005036 | Medicaid | NC | |
| 2632201 | Other | UNITED HEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Current | Accepting new patients | |
| Fellowship Health Resources, Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
-
dba Elwyn Adult Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, RI
- NPI 1245239680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.