NPIMap

Ashley Nianne Miller, NP

Individual provider Active NPI Nurse Practitioner · Thomasville, NC

NPI 1679258115 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1679258115
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
5018239 (NC)
Practice address
1219 Lexington Ave Ste B
Thomasville, NC 27360-2784
Phone
(336) 481-1880
Fax
(336) 481-1889
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 17

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC (2,413 clinicians)

Practice addresses (Care Compare)

1219 Lexington Ave
Suite B
Thomasville, NC 27360-2784
Phone (336) 481-8590

Hospital & facility affiliations

  • Novant Health Thomasville Medical Center Hospital · Thomasville, NC · CCN 340085

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230906000089 NC Practitioner - Nurse Practitioner 5698138832 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Neurology Current
since Jul 27, 2023		 Accepting new patients
Novant Health Medical Group, LLC Current
since Jul 27, 2023		 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

3515 W Market St
Ste 210
Greensboro, NC 27403
Phone (336) 660-5460

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1219 Lexington Ave
Ste B
Thomasville, NC 27360
Phone (336) 475-0113

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: amiller142783@direct.novanthealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5018239 NC Yes

Addresses

Primary practice location

1219 Lexington Ave Ste B
Thomasville, NC 27360-2784

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 481-1880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2023.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1679258115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LEXINGTON AVE STE B",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602784",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "NIANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

All providers in Thomasville, NC · Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.