John-Mark Mark Miller, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2015-02037 Issued in NC

Practice address

516 Beaman St
Clinton, NC 28328-2602

Phone

(910) 590-0048

Fax

(910) 596-6106

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sampson Regional Professional Services LLCGroup PAC ID 6406992817, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john-mark-miller@sampsonrps.e-mdsdirect.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.

• Sampson Regional Professional Services LLC.

  • Family Medicine Physician
  • Clinton, NC
  • NPI 1730311648
  Medicare reassignment Care Compare group NPD
• Sampson Regional Hospitalists, LLC

  • Hospitalist Physician
  • Clinton, NC
  • NPI 1902126444

  Family Medicine

  Medicare reassignment NPD
• Sampson Regional Professional Services LLC

  • Family Medicine Physician
  • Clinton, NC
  • NPI 1710209234
  NPD
• Sampson Regional Professional Services, LLC

  • Surgery Physician
  • Clinton, NC
  • NPI 1760744361
  NPD
• Sampson Regional Professional Services LLC

  • Family Nurse Practitioner
  • Clinton, NC
  • NPI 1073749131
  NPD (past)

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

• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1891716379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-590-0048",
            "fax_number": "910-596-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-590-0048",
            "fax_number": "910-596-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN-MARK",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-02037",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082534740A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john-mark-miller@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sampson Medical Group Direct Address",
            "affiliationName": "Sampson Regional Professional Services LLC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "516 Beaman St",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariana Mendible, MD
• Mercy Care Inc.
• Marvin Albert Meza Jarquin
• Maria Jose Meza
• Rita Ibrahim Mikhail-Vaswani, DO
• Valerie Susan Miller, RN
• Megan Lynne Mills, DO
• Rebecca Marie Millsaps, PA-C
• Ashley Butler Montgomery, M.ED,CFY/SLP
• Wesley Dale Moore, D.C.

• Family Medicine Physician in Clinton, NC
• Providers in Clinton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.

Verify at the official NPI Registry.