Individual provider Active NPI

Dorri Miller, APRN

  • Gerontology Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1366272148
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
29165 Issued in SC
Practice address
136 Stonemark LN Ste 100C
Columbia, SC 29210-3881
Phone
(888) 704-4661
Fax
(888) 239-2595
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 29165 SC Primary

Addresses

Primary practice location

136 Stonemark LN Ste 100C
Columbia, SC 29210-3881

Mailing address

4116 Perrine St
Charleston, SC 29414-6075

Other practice location 1

235 Wellesley St
Weston, MA 02493-1572
Phone (781) 768-7000

Other identifiers 1

IdentifierTypeStateIssuer
NN1429MedicaidSC

Other names 1

  • Dorri Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241218000689 SC Practitioner - Nurse Practitioner 5193164408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29165SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of South Carolina, LLC CurrentSince Jul 15, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Nov 4, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone 803239777800000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pruitthealth Hospice - CharlestonLadson, SC, CCN 421573 Hospice W-2 Managing Employee Feb 19, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1366272148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 PERRINE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STONEMARK LN STE 100C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103881",
            "telephone_number": "888-704-4661",
            "fax_number": "888-239-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wellesley St",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MA",
            "postal_code": "024931572",
            "country_code": "US",
            "telephone_number": "781-768-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DORRI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "29165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN1429",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORRI",
            "last_name": "HALL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.