Kevin Oneal Miller, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R878431 Issued in MS

Practice address

571 Mitchell St
Suite C
Guntown, MS 38849-8500

Phone

(662) 348-3342

Fax

(662) 348-2772

NPI assigned

Aug 14, 2013

Last updated

Apr 6, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Care Family Medicine, LLCGroup PAC ID 7214256601, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12573/brand/1/csg/1/fhir/r4
• Direct secure messaging: kevin.miller.2@12573.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Care Family Medicine, LLC

  • Primary Care Clinic/Center
  • Guntown, MS
  • NPI 1194128306
  Medicare reassignment Care Compare group NPD Authorized official
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment NPD

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

• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North MS Medical Center Home Health Agency

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare affiliation

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1588097471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 MITCHELL ST",
            "address_2": "SUITE C",
            "city": "GUNTOWN",
            "state": "MS",
            "postal_code": "388498500",
            "telephone_number": "662-348-3342",
            "fax_number": "662-348-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MITCHELL ST",
            "address_2": "SUITE C",
            "city": "GUNTOWN",
            "state": "MS",
            "postal_code": "388498500",
            "telephone_number": "662-348-3342",
            "fax_number": "662-348-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "ONEAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R878431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookelyn Griffin, CRNA
• William Colton Harris, FNP
• Sabrina Latesha Hill Wright
• Rebecca Hill
• Fulumirani McCoy, NP
• Mary Katherine Oglesby, MCD, CCC-SLP
• Jennifer T Porter, LCSW
• Brenda Sensing
• Loretta Jean Smith, FNP
• Ashlyn Elena Stevens, FNP

• Nurse Practitioner in Guntown, MS
• Providers in Guntown, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.