Active NPI
David C. Miller, MD
- Family Medicine Physician
- Harrisburg, NC
National Provider Identifier
1932197795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 96-00088
- Practice address
- 4315 Physicians Blvd
Suite 200
Harrisburg, NC 28075-7430 - Phone
- (704) 996-3737
- Fax
- (704) 364-4422
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 96-00088 | NC | Primary |
Addresses
Primary practice location
4315 Physicians Blvd
Suite 200
Harrisburg, NC 28075-7430
Mailing address
5608 Yorke St NW
Concord, NC 28027-5338
Phone (704) 795-4778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891125U | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-00088 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabarrus Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Concord, NC
- NPI 1679758759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1932197795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 YORKE ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275338",
"telephone_number": "704-795-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 PHYSICIANS BLVD",
"address_2": "SUITE 200",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757430",
"telephone_number": "704-996-3737",
"fax_number": "704-364-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "96-00088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891125U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.