NPIMap

Individual provider Active NPI

Mimi Chandler Miles, MD

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1871882142
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158730 Issued in NC
Practice address
Department of Family Medicine
590 Manning Drive,CB#7595
Chapel Hill, NC 27599-7595
Phone
(919) 966-3456
Fax
(919) 966-6125
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158730 NC Primary

Addresses

Primary practice location

Department of Family Medicine
590 Manning Drive,CB#7595
Chapel Hill, NC 27599-7595

Mailing address

Department of Family Medicine
590 Manning Drive,CB#7595
Chapel Hill, NC 27599-7595
Phone (919) 966-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111001322 NC Practitioner - Family Practice 0042432825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

267 S Churton St
Suite 200
Hillsborough, NC 27278-2696
Phone (919) 643-4511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158730NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hospital, Inc. CurrentSince Sep 9, 2014 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: mmiles550335@direct.medicine.duke.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1871882142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF FAMILY MEDICINE",
            "address_2": "590 MANNING DRIVE,CB#7595",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997595",
            "telephone_number": "919-966-3456",
            "fax_number": "919-966-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF FAMILY MEDICINE",
            "address_2": "590 MANNING DRIVE,CB#7595",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997595",
            "telephone_number": "919-966-3456",
            "fax_number": "919-966-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MIMI",
        "middle_name": "CHANDLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "158730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.