Active NPI
Jeannie H Miller, CRNP
- Acute Care Nurse Practitioner
- Hamilton, AL
National Provider Identifier
1972645612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0216585
- Practice address
- 1256 Military St S
Hamilton, AL 35570-5003 - Phone
- (205) 921-6200
- Fax
- (205) 921-6260
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0216585 | AL | Primary |
Addresses
Primary practice location
1256 Military St S
Hamilton, AL 35570-5003
Mailing address
1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00204144 | Other | AL | MEDICARE RAILROAD |
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0216585 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Stephen G Sanders | Past | Accepting new patients |
Locations
1200 Military St S
Hamilton, AL 35570
Phone (205) 921-6395
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
Interoperability endpoints
- jeanniemiller@nmhs.medalliesdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972645612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 MILITARY ST S",
"city": "HAMILTON",
"state": "AL",
"postal_code": "355705003",
"telephone_number": "205-921-6200",
"fax_number": "205-921-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 MILITARY ST S",
"city": "HAMILTON",
"state": "AL",
"postal_code": "355705003",
"telephone_number": "205-921-6200",
"fax_number": "205-921-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JEANNIE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "0216585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00204144",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, AL
- Marion Regional Medical Center, Inc. (Marion Regional Medical Center)
- April Glover Martin, PHARMD
- Mash,Inc.
- Stephanie Elliott McAfee, COTA
- Melissa a Gibson Shotts Optometrist (Family Vision)
- Kelley Lechelle Millwood, PHARM.D
- Jesse Reece Mitchell, BCPPC, DIV, PHD
- James Brown Mixon, DMD
- Nna of Alabama Inc (RCG Hamilton)
- North Mississippi Medical Clinic Inc (Marion Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.