Individual provider Active NPI

Morgan Nicole Miles, PA-C

  • Physician Assistant
  • Palm Coast, FL
National Provider Identifier
1841832797
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
84 Pinnacles Dr
Palm Coast, FL 32164-2324
Phone
(386) 256-1969
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Hospitalist Physician 208M00000X 9112612 FL

Addresses

Primary practice location

84 Pinnacles Dr
Palm Coast, FL 32164-2324

Mailing address

84 Pinnacles Dr
Palm Coast, FL 32164-2324
Phone (386) 256-1969

Other practice location 1

865 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 256-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201209000202 FL Practitioner - Physician Assistant 9133531544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1111 12TH St
Suite 308
Key West, FL 33040-3001
Phone (305) 296-3334

13732 17TH St
Dade City, FL 33525-4608
Phone (800) 809-4811

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
69.21
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9112612FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Dermatology and Cosmetic Services, P.a. PastSince Aug 28, 2021 Accepting new patients
Key West Dermatology Inc PastSince Apr 13, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00180

Organizations & group practices 3

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1841832797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PINNACLES DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642324",
            "telephone_number": "386-256-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINNACLES DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642324",
            "telephone_number": "386-256-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Saxon Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638204",
            "country_code": "US",
            "telephone_number": "386-256-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "MORGAN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "9112612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.