Active NPI
Patricia A Miller, PA-C
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10421
- Practice address
- 4701 Ogletown Stanton Road
Suite 2100
Newark, DE 19713-7000 - Phone
- (302) 733-4431
- Fax
- (888) 974-0793
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0000864 | DE | |
| Physician Assistant | 363A00000X | MA057045 | PA | |
| Physician Assistant | 363A00000X | 10421 | GA | Primary |
Addresses
Primary practice location
4701 Ogletown Stanton Road
Suite 2100
Newark, DE 19713-7000
Mailing address
200 Hygeia Drive
Suite 2300
Newark, DE 19713-2049
Phone (615) 454-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10421 | GA | MD | General Practice Dentistry |
| C5-0000864 | DE | MD | Physician Assistant |
| MA057045 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Medstar Franklin Square Physicians LLC | Past | Accepting new patients |
Locations
200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
4701 Ogletown Stanton Rd
Ste 2100
Newark, DE 19713
Phone (302) 623-4530
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- pmiller47599@direct.emory.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
dba CCHS Wilm Health Ctr
- Family Medicine Physician
- Wilmington, DE
- NPI 1760811681
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
DE
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Mfshp LLC
- General Practice Physician
- Baltimore, MD
- NPI 1538582945
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1982954897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DRIVE",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "615-454-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 OGLETOWN STANTON ROAD",
"address_2": "SUITE 2100",
"city": "NEWARK",
"state": "DE",
"postal_code": "197137000",
"telephone_number": "302-733-4431",
"fax_number": "888-974-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0000864",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057045",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.