James David Miller, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01096 Issued in WV

Practice address

401 6TH Ave Ste 301
Montgomery, WV 25136-2116

Phone

(304) 442-5151

NPI assigned

Aug 24, 2005

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MSRC LLCGroup PAC ID 6800122896, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSRC, LLC

  dba Mountain State Recovery Center

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1194294587
  Medicare reassignment Care Compare group NPD
• Montgomery General Hospital, Inc

  • Critical Access Hospital
  • Montgomery, WV
  • NPI 1619913647
  Medicare reassignment NPD
• Montgomery General Hospital, Inc

  dba Montgomery Physician Clinic

  • Rural Health Clinic/Center
  • Montgomery, WV
  • NPI 1275163644
  NPD
• Links LLC

  • Psychiatry Physician
  • Saint Albans, WV
  • NPI 1265816599
  NPD (past)
• MSRC, LLC

  dba Mountain State Recovery Center

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1184288623
  NPD (past)
• Tri State Neuroscience Center Inc

  • Neurological Surgery Physician
  • Huntington, WV
  • NPI 1609962067
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1710970801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HIDDEN VALLEY ESTS",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609301",
            "telephone_number": "304-923-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE STE 301",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Charles Lewis
• Alice Lee Lockman, FNP-BC
• Willard Truman Long Jr., MSW LGSW LCSWA
• Bradley Gilbert Marple, D.O.
• Michelle McCollam, PA-C
• Brook Mills
• Saghir Ur Rehman Mir, MD
• Jazmyn Mitchell
• Montgomery Gen Cahgrp
• Montgomery Gen Cahgrp

• Physician Assistant in Montgomery, WV
• Providers in Montgomery, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.