Individual provider Active NPI

Cicely Miller, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1396491247
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP000641 Issued in GA
Practice address
251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743
Phone
(423) 826-8000
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X GAA-NP000641 GA Primary

Addresses

Primary practice location

251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743

Mailing address

251 N Lyerly St
Ste 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220404002825 GA Practitioner - Nurse Practitioner 3173919990 Reassigns benefits to 1 organization
I20220412002450 TN Practitioner - Nurse Practitioner 3173919990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

201 Thomas Rd
Ft Oglethorpe, GA 30742-3659
Phone (706) 861-6668

251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
81.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP000641GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

201 Thomas Rd
Ft Oglethorpe, GA 30742
Phone (615) 342-0472

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

Organizations & group practices 1

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 1

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1396491247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000",
            "fax_number": "423-702-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CICELY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.