Patricia A. Miller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17776 Issued in MS

Practice address

1146 Evelyn Gandy Pkwy
Petal, MS 39465-3947

Phone

(601) 584-4309

Fax

(601) 584-4890

NPI assigned

Jun 15, 2006

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

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 MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
• Direct secure messaging: patricia.miller@direct.scrmc.com

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.

• Forrest County General Hospital

  • Psychiatric Hospital Unit
  • Hattiesburg, MS
  • NPI 1295837631
  Medicare reassignment NPD
• South Central Clinics, Inc

  dba Ellisville Medical Clinic

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment NPD
• Walthall General Hospital

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1245512417
  Medicare reassignment NPD
• Forrest County General Hospital

  dba Highland Center for Women's Health RHC

  • Rural Health Clinic/Center
  • Picayune, MS
  • NPI 1043820426
  NPD
• Forrest County General Hospital

  dba Marion General Hospital

  • Family Medicine Physician
  • Columbia, MS
  • NPI 1285907006
  NPD
• South Central Clinics, Inc

  dba South Central Urgent Care

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1033903547
  NPD
• South Central Clinics, Inc

  dba Laurel Family Clinic

  • Family Medicine Physician
  • Laurel, MS
  • NPI 1801835087
  NPD
• Walthall General Hospital

  dba Walthall Rural Health Clinic

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1255649604
  NPD
• Heartsouth PLLC

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
  • NPI 1316967219

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1821032236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 EVELYN GANDY PKWY",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394653947",
            "telephone_number": "601-584-4309",
            "fax_number": "601-584-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 EVELYN GANDY PKWY",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394653947",
            "telephone_number": "601-584-4309",
            "fax_number": "601-584-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara B Mauldin, D.M.D.
• Tabatha McKinney, PHARMD
• Tim McWilliams
• Adam Meyers, AGACNP, RNFA
• Mid-South Direct Primary Care
• Raven Miller
• Alvaro Jorge Moreno, O.D.
• Alvaro Paul Moreno, OD
• Pedro Saul Moreno, A.T.C.
• Krystal Morgan

• Family Medicine Physician in Petal, MS
• Providers in Petal, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.

Verify at the official NPI Registry.