NICOLE MICHELLE MILLARD (NPI# 1063986883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063986883 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE MILLARD |
| Credential | PA-C |
| Practice Address |
910 Worth St Mount Airy NC 27030-4458 |
| Mailing Address |
870 Carson Rd Pilot Mountain NC 27041-7345 |
| Practice Telephone | 3367865108 |
| Mailing Telephone | 5613136361 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08766 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
910 WORTH ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546620 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 910 Worth St, Foothills Primary Care, Mount Airy, NC 27030-4458 | 2005-08-23 |
| 1023458205 | Alice Smith Wood | Physician Assistant | 910 Worth St, Mount Airy, NC 27030-4458 | 2013-07-02 |
| 1992816748 | Stephanie Lynn Baginski | Family Medicine | 910 Worth St, Mount Airy, NC 27030-4458 | 2006-08-31 |
| 1801869359 | Angela Gwynn Bowman | Physician Assistant | 910 Worth St, Mount Airy, NC 27030-4458 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871151779 | Catherine Grainger Kirk | Physician Assistant | 113 Scenic Outlet Ln, Mount Airy, NC 27030-9976 | 2019-06-05 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1649289562 | Malathi L. Kakani | Physician Assistant | 1502 S Main St Ste 202, Mount Airy, MD 21771-5363 | 2006-08-07 |
| 1760483432 | Daniel L Schwartz | Physician Assistant | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2005-08-03 |
| 1457352353 | Edward L. Mcdowell | Physician Assistant | 1201 W Lebanon St, Mount Airy, NC 27030-2227 | 2005-08-02 |
| 1528062940 | Jason Lindsey Ferris | Physician Assistant | 314 S South St Ste 100, Mount Airy, NC 27030 | 2005-06-13 |
| 1578171260 | Mathew Mazo Reynolds | Physician Assistant | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-07-19 |
| 1073131637 | Craig Elijah Howell | Physician Assistant | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-07-10 |
| 1588217285 | Jenna Nicole Dahle | Physician Assistant | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2019-07-22 |
| 1578957585 | Crystal Riley | Physician Assistant | 504 E Ridgeville Blvd, Suite 110, Mount Airy, MD 21771-5942 | 2015-03-27 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.