NPIMap

Individual provider Active NPI

Alyssa N Milam, FNP-C

  • Family Nurse Practitioner
  • Chase City, VA
National Provider Identifier
1972088797
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176873 Issued in VA
Practice address
946 N Main St
Chase City, VA 23924-1139
Phone
(434) 372-5141
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 0001248687 VA
Family Nurse Practitioner 363LF0000X 0024176873 VA Primary

Addresses

Primary practice location

946 N Main St
Chase City, VA 23924-1139

Mailing address

946 N Main St
Chase City, VA 23924-1139
Phone (434) 372-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181212000156 VA Practitioner - Nurse Practitioner 8123362571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Regional Hospital IncGroup PAC ID 4587572805, 27 clinicians

Practice addresses (Care Compare)

115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344

946 N Main St
Chase City, VA 23924-1139
Phone (434) 372-5141

Hospital & facility affiliations

  • 1St Care Home Health South Boston Home health agency, South Boston, VA, CCN 497021
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001248687VAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Halifax Regional Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

115 College St
Clarksville, VA 23927
Phone (434) 374-5344

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Interoperability endpoints

  • Direct secure messaging: amilam524316@direct.sentara.net

Organizations & group practices 2

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 11

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1972088797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241139",
            "telephone_number": "434-372-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241139",
            "telephone_number": "434-372-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "ALYSSA",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001248687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chase City, VA

Sources for this page

Verify at the official NPI Registry.