Individual provider Active NPI

Amy Leigh Miller, M.D.

  • Pediatrics Physician
  • Paragould, AR
National Provider Identifier
1609363514
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E14145 Issued in AR
Practice address
630 W Court St Ste C
Paragould, AR 72450-4247
Phone
(870) 236-6911
Fax
(870) 236-8129
NPI assigned
Apr 16, 2018
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E14145 AR Primary

Addresses

Primary practice location

630 W Court St Ste C
Paragould, AR 72450-4247

Mailing address

630 W Court St Ste C
Paragould, AR 72450-4247

Other identifiers 1

IdentifierTypeStateIssuer
273642001MedicaidAR

Other names 1

  • Ms. Amy Leigh Fletcher Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E14145ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Pediatrics Pediatrics CurrentSince Oct 8, 2023 Accepting new patients
JPC Medical Inc Past Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients
Child & Adolescent Clinic PastSince Aug 1, 2022 Accepting new patients
Burchfield Family Medicine PLLC PastSince Sep 9, 2002 Accepting new patients

Locations

630 W Court St
Ste C
Paragould, AR 72450
Phone (870) 236-6911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDABAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609363514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W COURT ST STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W COURT ST STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-6911",
            "fax_number": "870-236-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E14145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273642001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FLETCHER",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.