NPIMap

Individual provider Active NPI

Priscilla Miller, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1376814533
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R877223 Issued in MS
Practice address
4715 42ND Place
Meridian, MS 39305
Phone
(601) 696-6736
Fax
(601) 696-6778
NPI assigned
Jan 19, 2012
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLCGroup PAC ID 1456328210, 10 clinicians
Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R877223MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Neshoba County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Southern Pain Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Pain Management Ctr Meridian CurrentSince Sep 29, 2012 Accepting new patients
Flowood Pain Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
East Mississippi Medical Clinic CurrentSince Apr 1, 2024 Accepting new patients
East Mississippi Medical Clinic, PLLC CurrentSince Apr 1, 2024 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

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1102 Constitution Ave
Fl 5
Meridian, MS 39301
Phone (601) 703-5600

4711 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 484-3390

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22967/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEHEBD
  • Direct secure messaging: priscilla.miller.1@22967.direct.athenahealth.com
  • Direct secure messaging: priscillamiller@neshobahealth.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.