Individual provider Active NPI

Joshua David Miller, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1710526447
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114240 Issued in FL
Practice address
7751 Kingspointe Pkwy Ste 114
Orlando, FL 32819-6502
Phone
(407) 581-9672
NPI assigned
Dec 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09664 NC
Physician Assistant 363A00000X PA9114240 FL Primary

Addresses

Primary practice location

7751 Kingspointe Pkwy Ste 114
Orlando, FL 32819-6502

Mailing address

764 Sun Rd
Aberdeen, NC 28315-2129
Phone (317) 833-8967

Other practice location 1

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20200218001231 NC Practitioner - Physician Assistant 6608203484 Reassigns benefits to 1 organization
I20211110002974 FL Practitioner - Physician Assistant 6608203484 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114240FLMDPhysician Assistant
0010-09664NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1710526447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 SUN RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152129",
            "telephone_number": "317-833-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 KINGSPOINTE PKWY STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196502",
            "telephone_number": "407-581-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525501",
            "country_code": "US",
            "telephone_number": "910-291-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09664",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.