Individual provider Active NPI

Angelina Miller

  • Physician Assistant
  • Montgomery, AL
National Provider Identifier
1619697331
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2376 Issued in AL
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

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 CenterGroup PAC ID 9830002617, 867 clinicians

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 Hospital, Seattle, WA, CCN 500005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2376ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 5, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 25, 2025 Accepting new patients
American Family Care, LLC CurrentSince May 3, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 5, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 25, 2025 Accepting new patients
American Family Care, LLC CurrentSince May 3, 2024 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

  • FHIR API: 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.

View all 25

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

Verify at the official NPI Registry.