Cape Fear Regional Transport Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAPE FEAR REGIONAL TRANSPORT INC

Doing business as

Miller Ambulance Service
Miller Non-Emergency Ambulance Service

Practice address

609 Carolina Ave
Yadkinville, NC 27055-7759

Phone

(336) 677-1116

Fax

(336) 677-1103

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Gary W Miller

Title

President/ Director

Phone

(704) 907-8063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Miller Ambulance Service Doing business as
• Miller Non-Emergency Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1962869271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CAROLINA AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557759",
            "telephone_number": "336-677-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CAROLINA AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557759",
            "telephone_number": "336-677-1116",
            "fax_number": "336-677-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR REGIONAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "704-907-8063"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962869271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miller Non-Emergency Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hosptial Professional Staff)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Physcians)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Matthew A Cain, PTA
• Ashley Keys Campbell, NP-C
• Carolina Pharmacy Services (Yadkin Valley Pharmacy)
• Carolina Pharmacy Services (Yadkin Valley Pharmacy)
• Barbara Ann Carter, RN
• Connie Caudle, MSN, FNP-C
• Megan Reklis Caudle, ACNP

• Land Ambulance in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.