Active NPI
Angie Dailey Miller, MSCCC-SLP
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1497325237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 484 Riverside Ave
Jacksonville, FL 32202-4912 - Phone
- (904) 579-2824
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | KY | Primary |
Addresses
Primary practice location
484 Riverside Ave
Jacksonville, FL 32202-4912
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
649 Meyers Baker Rd
Suite 102
London, KY 40741-3006
Phone (606) 864-7316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Services of Kentucky, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Services of Kentucky, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Services of Kentucky, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Services of Kentucky LLC | Past | Accepting new patients |
Locations
484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824
649 Meyers Baker Rd
Ste 102
London, KY 40741
Phone (606) 864-7316
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- London, KY
- NPI 1881649507
-
- Rehabilitation Clinic/Center
- Berea, KY
- NPI 1205192721
-
- Rehabilitation Clinic/Center
- Paducah, KY
- NPI 1659036846
-
- Rehabilitation Clinic/Center
- Paducah, KY
- NPI 1710705066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1497325237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024912",
"telephone_number": "904-579-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANGIE",
"middle_name": "DAILEY",
"credential": "MSCCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.