Active NPI
Priscilla Miller, FNP
- Family Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R877223
- Practice address
- 4715 42ND Place
Meridian, MS 39305 - Phone
- (601) 696-6736
- Fax
- (601) 696-6778
- NPI assigned
- Jan 19, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R877223 | MS | Primary |
Addresses
Primary practice location
4715 42ND Place
Meridian, MS 39305
Mailing address
4715 42ND Place
Meridian, MS 39305
Phone (601) 696-6736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121109000198 | MS | Practitioner - Nurse Practitioner | 3375794860 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Pain Associates, PLLCEast Mississippi Medical Clinic, PLLCFlowood Pain Center, LLC
Practice addresses (Care Compare)
1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224
4711 Poplar SPG Dr
Meridian, MS 39305-2622
Phone (601) 485-7777
7100 U S Hwy 98
Suite 210
Hattiesburg, MS 39402-8557
Phone (601) 545-7021
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Anderson Regional Medical Center
- Ochsner Rush Hospital
- Ochsner Watkins Hospital
- Neshoba County General Hospital
- Ochsner Laird Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R877223 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| East Mississippi Medical Clinic, PLLC | Current | Accepting new patients | |
| Flowood Pain Center, LLC | Current | Accepting new patients | |
| Pain Management Ctr Meridian | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Southern Pain Associates, PLLC | Current | Accepting new patients | |
| East Mississippi Medical Clinic | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
120 Stone Creek Blvd
Ste 500
Flowood, MS 39232
Phone (601) 202-2040
7100 U S Highway 98
Ste 210
Hattiesburg, MS 39402
Phone (601) 545-7021
27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000
4711 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 484-3390
1102 Constitution Ave
Fl 5
Meridian, MS 39301
Phone (601) 703-5600
1001 14th St
Meridian, MS 39301
Phone (601) 482-9224
1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511
1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
Interoperability endpoints
- priscillamiller@neshobahealth.cernerdirect.com
- https://api.platform.athenahealth.com/22967/brand/1/csg/1/fhir/r4
- priscilla.miller.1@22967.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/EEHEBD
Organizations & group practices 8
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.
-
- Pain Medicine (Anesthesiology) Physician
- Meridian, MS
- NPI 1093709958
MS
-
- Certified Registered Nurse Anesthetist
- Philadelphia, MS
- NPI 1114057247
MS
-
- Pain Medicine (Anesthesiology) Physician
- Meridian, MS
- NPI 1225096613
MS
-
- Primary Care Clinic/Center
- Newton, MS
- NPI 1497096036
-
- Emergency Medical Services (Emergency Medicine) Physician
- Philadelphia, MS
- NPI 1003946138
-
- Critical Access Hospital
- Philadelphia, MS
- NPI 1083659734
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carthage, MS
- NPI 1275674533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1376814533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 42ND PLACE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "39305",
"telephone_number": "601-696-6736",
"fax_number": "601-696-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 42ND PLACE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "39305",
"telephone_number": "601-696-6736",
"fax_number": "601-696-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PRISCILLA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R877223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.