Active NPI
Angelina Miller
- Physician Assistant
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2376
- Practice address
- 2570 Berryhill Rd # 3564
Montgomery, AL 36117-3564 - Phone
- (334) 323-1330
- NPI assigned
- Sep 1, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 2376 | AL | Primary |
Addresses
Primary practice location
2570 Berryhill Rd # 3564
Montgomery, AL 36117-3564
Mailing address
2570 Berryhill Rd # 3564
Montgomery, AL 36117-3564
Other practice location 1
7449 Eastchase Pkwy
Montgomery, AL 36117-6846
Phone (334) 747-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812000758 | AL | Practitioner - Physician Assistant | 9133667017 | Reassigns benefits to 2 organizations |
| I20250826005163 | WA | Practitioner - Physician Assistant | 9133667017 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Mason Medical Center
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
11695 NE 4TH St
Bellevue, WA 98004-5268
Phone (425) 637-1855
925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600
Hospital & facility affiliations
- Virginia Mason Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2376 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
7449 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 747-4030
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2570 Berryhill Rd
#3564
Montgomery, AL 36117
Phone (334) 323-1330
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
Organizations & group practices 25
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.
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
AL
-
- Psychiatry Physician
- Seattle, WA
- NPI 1124176904
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Seattle, WA
- NPI 1174164297
-
- Durable Medical Equipment & Medical Supplies
- Issaquah, WA
- NPI 1174662548
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1255577003
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1285772723
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1548406374
-
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
- NPI 1558400929
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1699702050
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1619697331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 BERRYHILL RD # 3564",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 BERRYHILL RD # 3564",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173564",
"telephone_number": "334-323-1330"
}
],
"practiceLocations": [
{
"address_1": "7449 Eastchase Pkwy",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361176846",
"country_code": "US",
"telephone_number": "334-747-4030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ANGELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "2376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.