Patricia A. Miller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17776 Issued in MS

Practice address

200 Hospital Dr.
Tylertown, MS 39667-2020

Phone

(601) 876-5835

Fax

(601) 876-0653

NPI assigned

Jun 15, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Forrest County General Hospital

  • Psychiatric Hospital Unit
  • Hattiesburg, MS
  • NPI 1295837631

  MS

  Medicare reassignment NPD
• South Central Clinics, Inc

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287

  Family Medicine, MS

  Medicare reassignment NPD
• Walthall General Hospital

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1245512417

  MS

  Medicare reassignment NPD
• Forrest County General Hospital

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

  • Family Medicine Physician
  • Columbia, MS
  • NPI 1285907006

  Family Medicine

  NPD
• South Central Clinics, Inc

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

  • Family Medicine Physician
  • Laurel, MS
  • NPI 1801835087

  Family Medicine

  NPD
• Walthall General Hospital

  • 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": "1446681600000",
    "number": "1821032236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672020",
            "telephone_number": "601-876-5835",
            "fax_number": "601-876-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR.",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672020",
            "telephone_number": "601-876-5835",
            "fax_number": "601-876-0653"
        }
    ],
    "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": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126491",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruthie L Lewis, LPN
• Bessie L Magee, NURSE
• Mark Andrew Dillon, DMD, PA
• Temekia L McInnis
• Kanisha M McKnight
• Mississippi State Department of Health
• Neshia Transportation
• New Life Physical Therapy Center LLC
• Lavarshia Newsome-Pittman, PHARM.D.
• Ngu,LLC

• All providers in Tylertown, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.