Active NPI
Edith Miller, MD
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1487679031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25169
- Practice address
- 1025 Morehead Medical Dr
Ste 500
Charlotte, NC 28204-2963 - Phone
- (704) 446-2320
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25169 | NC | Primary |
Addresses
Primary practice location
1025 Morehead Medical Dr
Ste 500
Charlotte, NC 28204-2963
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278-7565
Phone (704) 302-9462
Other practice location 2
10650 Park Rd
Ste 300
Charlotte, NC 28210-8538
Phone (704) 302-9462
Other practice location 3
4525 Cameron Valley Pkwy
Ste 4100
Charlotte, NC 28211-4369
Phone (704) 302-9462
Other practice location 4
15110 John J Delaney Dr
Ste 200
Charlotte, NC 28277-3544
Phone (704) 302-9462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25169 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1487679031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR",
"address_2": "STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042963",
"telephone_number": "704-446-2320"
}
],
"practiceLocations": [
{
"address_1": "13640 Steelecroft Pkwy",
"address_2": "Ste 320",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282787565",
"country_code": "US",
"telephone_number": "704-302-9462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10650 Park Rd",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-302-9462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Ste 4100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-9462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15110 John J Delaney Dr",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773544",
"country_code": "US",
"telephone_number": "704-302-9462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "EDITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "25169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.