Individual provider Active NPI

Jodi L. Miller, D.O.

  • Family Medicine Physician
  • Nashville, NC
National Provider Identifier
1366420507
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701456 Issued in NC
Practice address
155 Nashville Commons Dr
Nashville, NC 27856-1823
Phone
(252) 459-7769
Fax
(252) 459-6539
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701456 NC Primary

Addresses

Primary practice location

155 Nashville Commons Dr
Nashville, NC 27856-1823

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

803 Tilghman Dr
Dunn, NC 28334-5509
Phone (910) 892-1091

Other identifiers 2

IdentifierTypeStateIssuer
9701456OtherNCLICENSE NUMBER
8910724MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller100041@direct.UNC.nchie.net 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000551 NC Practitioner - Family Practice 2365402302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

250 Nash Medical Arts Mall
Suite D
Rocky Mount, NC 27804-1470
Phone (252) 962-5300

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Centerwell Home Health Home health agency, Rocky Mount, NC, CCN 347328
  • Well Care Home Health, Inc Home health agency, Raleigh, NC, CCN 347192
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9701456NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Jan 9, 2024 Accepting new patients
Wake Specialty Physicians, LLC Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Feb 1, 2017 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
Ocala Health Primary Care LLC Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

803 Tilghman Dr
Ste 100
Dunn, NC 28334
Phone (910) 892-1091

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

400 N Englewood Dr
Kenly, NC 27542
Phone (919) 284-4149

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

155 Nashville Commons Dr
Nashville, NC 27856
Phone (252) 453-7769

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

1041 Noell Ln
Ste 105
Rocky Mount, NC 27804
Phone (252) 442-9600

250 Nash Medical Arts Mall
#D
Rocky Mount, NC 27804
Phone (252) 937-4100

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Interoperability endpoints

  • Direct secure messaging: jmiller129378@directhisp.wakemed.org
  • Direct secure messaging: jmiller100041@direct.unc.nchie.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1366420507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NASHVILLE COMMONS DR",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561823",
            "telephone_number": "252-459-7769",
            "fax_number": "252-459-6539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345509",
            "country_code": "US",
            "telephone_number": "910-892-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JODI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "9701456",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910724",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller100041@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "155 Nashville Commons Dr",
            "city": "Nashville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278561823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

Verify at the official NPI Registry.