Active NPI
Joshua Seth Miller, MD
- Pain Medicine (Anesthesiology) Physician
- Charlotte, NC
National Provider Identifier
1508854019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 32269
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-2372
- Fax
- (704) 355-6692
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32269 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 32269 | FL | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
PO Box 36351
Southeast Anesthesiology Consultants PA
Charlotte, NC 28236-6351
Phone (704) 377-5772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8959053 | Medicaid | NC | |
| N32269 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32269 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Southeast Pain & Spine Care Specialists, LLC | Past | Accepting new patients | |
| Anesthesiology Consultants of South Carolina, PLLC | Anesthesiology | Past | Accepting new patients |
| Southeast Pain Management Services, PLLC | Pain Medicine | Past | Accepting new patients |
Locations
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDEHDD
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.
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1023335551
-
- Pain Medicine (Anesthesiology) Physician
- Charlotte, NC
- NPI 1255396933
-
- Interventional Pain Medicine Physician
- Norfolk, VA
- NPI 1558179689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1508854019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36351",
"address_2": "SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282366351",
"telephone_number": "704-377-5772",
"fax_number": "704-377-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-2372",
"fax_number": "704-355-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOSHUA",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "32269",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "32269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8959053",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N32269",
"state": "SC"
}
],
"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 Aug 7, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.