Individual provider Active NPI

Theresa P. Miller, PA

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1740228600
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-231 Issued in AL
Practice address
2451 University Hospital Dr BLDG Suite102
Mobile, AL 36617-2300
Phone
(251) 471-7844
Fax
(251) 471-7898
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-231 AL Primary

Addresses

Primary practice location

2451 University Hospital Dr BLDG Suite102
Mobile, AL 36617-2300

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (251) 434-3626

Other identifiers 6

IdentifierTypeStateIssuer
1505676MedicaidLA
009919425MedicaidAL
51514409OtherALBLUE CROSS
009913955MedicaidAL
07171083MedicaidMS
292365300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20060301000068 AL Practitioner - Physician Assistant 8921014937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-231ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 2, 2019 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health Physician Billing Services LLC Past Accepting new patients

Locations

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

1601 Center St
Ste 1S
Mobile, AL 36604
Phone (251) 410-5437

2451 University Hospital Dr
Ste 102
Mobile, AL 36617
Phone (251) 470-5890

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

Organizations & group practices 7

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1740228600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR BLDG SUITE102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-471-7844",
            "fax_number": "251-471-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THERESA",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505676",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009919425",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51514409",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913955",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07171083",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292365300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.