Active NPI
Seth W Miller, PA-C
- Physician Assistant
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200491
- Practice address
- 8383 Millicent Way Ste B
Shreveport, LA 71115 - Phone
- (318) 631-9121
- Fax
- (318) 213-6246
- NPI assigned
- Sep 9, 2011
- Last updated
- Aug 12, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200491 | LA | Primary |
Addresses
Primary practice location
8383 Millicent Way Ste B
Shreveport, LA 71115
Mailing address
3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167642 | Medicaid | LA | |
| PA.200491 | Other | LA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.49 of 100
- Quality
- 85.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200491 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol City Family Health Center Incorporated | Current | Accepting new patients | |
| Winn Community Health Center, Inc. | Current | Accepting new patients | |
| Capitol City Family Health Center, Incorporated | Current | Accepting new patients | |
| Capitol City Family Health Center, Incorporated | Current | Accepting new patients | |
| Winn Community Health Center, Inc. | Current | Accepting new patients |
Locations
3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000
2400 Hospital Dr
Ste 370
Bossier City, LA 71111
Phone (318) 746-4460
340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700
3217 Mabel St
Shreveport, LA 71103
8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282
8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707
8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505
8730 Youree Dr
Ste B
Shreveport, LA 71115
Phone (318) 227-9002
Interoperability endpoints
- seth.miller@gis.eclinicaldirectplus.com
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.
-
- Gastroenterology Physician
- Shreveport, LA
- NPI 1932171725
-
dba CareSouth
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1265548614
-
dba CareSouth
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1669258448
-
dba CareSouth
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1720965767
-
dba Cypress Springs ESBC
- Federally Qualified Health Center (FQHC)
- Ruston, LA
- NPI 1447133459
-
dba East Grant Community Health Center
- Federally Qualified Health Center (FQHC)
- Pollock, LA
- NPI 1982132189
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1346521945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 MABEL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034022",
"telephone_number": "318-631-9121",
"fax_number": "318-631-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 MILLICENT WAY STE B",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71115",
"telephone_number": "318-631-9121",
"fax_number": "318-213-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SETH",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167642",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA.200491",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.