Active NPI
Morgan Gray Miller, NP
- Gerontology Nurse Practitioner
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 253709
- Practice address
- 901 N Winstead Ave
Rocky Mount, NC 27804-8467 - Phone
- (252) 937-0235
- Fax
- (252) 937-3102
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 253709 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 253709 | NC | Primary |
Addresses
Primary practice location
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0235
Other practice location 1
921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone (252) 937-0300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253709 | Other | NC | NC NURSE PRAC. LICENSE |
| 1821564709 | Medicaid | NC | |
| NN4926A | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 N Winstead Ave
Rocky Mount, NC 27804-8712
Phone (252) 937-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253709 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boice-Willis Clinic, PA | Current | Accepting new patients | |
| Boice-Willis Clinic PA | Current | Accepting new patients |
Locations
921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300
3221 Zebulon Rd
Rocky Mount, NC 27804
901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1699722389
-
- Physical Therapy Clinic/Center
- Rocky Mount, NC
- NPI 1952557241
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke Rapids, NC
- NPI 1346273943
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1821564709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0235",
"fax_number": "252-937-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048467",
"telephone_number": "252-937-0235",
"fax_number": "252-937-3102"
}
],
"practiceLocations": [
{
"address_1": "921 N Winstead Ave",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278048749",
"country_code": "US",
"telephone_number": "252-937-0300",
"fax_number": "252-937-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MORGAN",
"middle_name": "GRAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "253709",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "253709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC NURSE PRAC. LICENSE",
"identifier": "253709",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821564709",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN4926A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.