Individual provider Active NPI

Brittany Miller

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1790297299
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1415 Old Weisgarber Rd
Knoxville, TN 37909-1327
Phone
(865) 588-1605
Fax
(865) 588-1608
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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 Primary

Addresses

Primary practice location

1415 Old Weisgarber Rd
Knoxville, TN 37909-1327

Mailing address

1415 Old Weisgarber Rd Ste 350
Knoxville, TN 37909-1327
Phone (865) 588-1605

Other practice location 1

2435 Jacksboro Pike,
Suite 3
Jacksboro, TN 37757
Phone (423) 449-8135

Other practice location 2

1400 Dowell Springs Blvd
Knoxville, TN 37909-2456
Phone (865) 588-1605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180705002471 TN Practitioner - Physician Assistant 1355697376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.07 of 100Reported as group
Quality
77.73
Promoting interoperability
100
Improvement activities
40
Cost
82.51

National Provider Directory

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

Organizations & group practices 1

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1790297299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091327",
            "telephone_number": "865-588-1605",
            "fax_number": "865-588-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091327",
            "telephone_number": "865-588-1605",
            "fax_number": "865-588-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Jacksboro Pike,",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Jacksboro",
            "state": "TN",
            "postal_code": "37757",
            "country_code": "US",
            "telephone_number": "423-449-8135",
            "fax_number": "423-201-9559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Dowell Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092456",
            "country_code": "US",
            "telephone_number": "865-588-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.