Individual provider Active NPI

Stephen Clark Miller, MD

  • Surgery Physician
  • Spartanburg, SC
National Provider Identifier
1922593185
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LL52719 Issued in SC
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(864) 560-6285
NPI assigned
Jun 28, 2018
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LL52719 SC Primary

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

101 E Wood St
Spartanburg, SC 29303-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240318002601 SC Practitioner - General Surgery 5294072658 Reassigns benefits to 2 organizations
I20240508003700 NC Practitioner - General Surgery 5294072658 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Physician Associates Surgery CurrentSince Sep 21, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Fletcher Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc. CurrentSince Apr 1, 2024 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

989 Ribaut Rd
Ste 360
Beaufort, SC 29902
Phone (843) 522-5900

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: stephen.miller.1@16436.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1922593185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL52719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.