Individual provider Active NPI

Seth W Miller, PA-C

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1346521945
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200491 Issued in LA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2167642MedicaidLA
PA.200491OtherLASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000740 LA Practitioner - Physician Assistant 1153593371 Reassigns benefits to 2 organizations

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
Gastrointestinal Specialists AMCGroup PAC ID 0547245086, 32 clinicians

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 100Reported as group
Quality
85.05
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.200491LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.