Active NPI
Joshua David Miller, PA-C
- Physician Assistant
- Orlando, FL
National Provider Identifier
1710526447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114240
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114240 | FL | MD | Physician Assistant |
| 0010-09664 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pulmonary Specialists LTD | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
-
- Pulmonary Disease Physician
- Scottsdale, AZ
- NPI 1215986468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.