Active NPI
Gregory Miller, MD
- Specialist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C68839
- Practice address
- 615 Wesley Dr Ste 320
Charleston, SC 29407-7274 - Phone
- (843) 571-2939
- Fax
- (843) 571-4686
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C68839 | SC | Primary |
Addresses
Primary practice location
615 Wesley Dr Ste 320
Charleston, SC 29407-7274
Mailing address
615 Wesley Dr Ste 320
Charleston, SC 29407-7274
Phone (843) 571-2939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0453 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C68839 | SC | MD | Specialist |
| 10918 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Hospital, Inc. | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
615 Wesley Dr
Ste 320
Charleston, SC 29407
Phone (843) 571-2939
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
Organizations & group practices 6
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.
-
dba The Ryan White Wellness Center
- Infectious Disease Physician
- Charleston, SC
- NPI 1104150739
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1053337626
-
dba Vascular Medicine and Wound Management Clinic
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N Charleston, SC
- NPI 1104563758
-
dba Roper St. Francis Physician Partners Cardiology
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1164199188
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770688764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 WESLEY DR STE 320",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077274",
"telephone_number": "843-571-2939",
"fax_number": "843-571-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WESLEY DR STE 320",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077274",
"telephone_number": "843-571-2939",
"fax_number": "843-571-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "C68839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0453",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.