Peter Daniel Miller, MD, PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

9500409 Issued in NC

Practice address

766 Hartness Rd Ste C
Statesville, NC 28677-3485

Phone

(704) 954-8277

Fax

(704) 954-8199

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Medical University of South Carolina College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: petermiller@imhi.allscriptsdirect.net
• Direct secure messaging: peter.miller@iredell.cernerdirect.com

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.

• Iredell Physician Network LLC

  • General Practice Physician
  • Statesville, NC
  • NPI 1811381593
  Medicare reassignment Care Compare group NPD
• Iredell Physician Network LLC

  • Otolaryngology Physician
  • Statesville, NC
  • NPI 1447063920
  NPD
• Iredell Physician Network, LLC

  • Hematology & Oncology Physician
  • Statesville, NC
  • NPI 1477805166
  NPD
• Iredell Physician Network LLC

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1780822288
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1417944224
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1508868647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896199",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD STE C",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773485",
            "telephone_number": "704-954-8277",
            "fax_number": "704-954-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Brawley School Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179393",
            "country_code": "US",
            "telephone_number": "704-658-0956",
            "fax_number": "704-658-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286012443",
            "country_code": "US",
            "telephone_number": "704-954-8277",
            "fax_number": "704-954-8199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774142",
            "country_code": "US",
            "telephone_number": "704-380-2711",
            "fax_number": "704-380-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 Bluefield Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179626",
            "country_code": "US",
            "telephone_number": "704-360-6470",
            "fax_number": "704-746-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PETER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "9500409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959151",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140007926",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "59151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Miller, LCMHCS
• David John Miller II, LCSW-A
• Michael Ray Miller, MD
• Michelle Ann Miller
• Pamela Dotson Miller, FNP C
• Karen Mills, SPEECH THERAPIST
• Tami Jean Mills, FNP
• Warren G Mills, MD
• Barbara Jane Millsaps, LPN
• Katya Minervini

• Neurological Surgery Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Neurological Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
• 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.

Verify at the official NPI Registry.