Richard E. Miller (NPI# 1053533406, PAC ID# 6305938739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1053533406 |
| PAC ID by PECOS | 6305938739 |
| Professional Enrollment ID | I20070815000471 |
| Full Name | Richard E. Miller |
| Organization Legal Name | SOUTHWEST MS NEPHROLOGY, PLLC |
| Address |
513 C Brookman Dr Brookhaven MS 39601-2326 |
| Phone Number | 6018333822 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 0345203857 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| 250097 | SOUTHWEST MS REGIONAL MEDICAL CENTER |
| 251305 | LAWRENCE COUNTY HOSPITAL CAH |
| 251309 | FIELD HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 513 C Brookman Dr, Brookhaven, MS 39601-2326 | 6018333822 | SOUTHWEST MS NEPHROLOGY, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 20% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 18% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 28% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | SOUTHWEST MS NEPHROLOGY, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Alicia Kimbrell | Nurse Practitioner | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Braxter P Irby Jr. | Internal Medicine | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Street Address |
513 C BROOKMAN DR |
| City | BROOKHAVEN |
| State | MS |
| Zip | 39601-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Alicia Kimbrell | Nurse Practitioner | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Braxter P Irby Jr. | Internal Medicine | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Stewart | General Surgery | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| James B Hall | Nephrology | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| Jani L Purvis | Diagnostic Radiology | 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 | |
| Katherine Ross Flynn | Nurse Practitioner | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Timothy R Shann | Pediatric Medicine | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Charles Asa Reynolds | General Surgery | Brookhaven Surgery Clinic P.a. | 1036 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Briana Hall Price | Nurse Practitioner | Brookhaven Anesthesia and Pain Management | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Mark Timothy Barron | Orthopedic Surgery | Kdmc Physician Clinics LLC | 1014 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| James E Hall | Ophthalmology | 1022 D A Biglane Dr, Brookhaven, MS 39601-2331 | |
| Joseph S Moak Jr. | Internal Medicine | 1040 D A Biglane Dr, Brookhaven, MS 39601-2331 | |
| Find all physicians in zip 39601 | |||
| City | BROOKHAVEN |
| Zip Code | 39601 |
| Specialty | NEPHROLOGY |
| City + Specialty | BROOKHAVEN + NEPHROLOGY |
Please comment or provide details below to improve the information on Richard E. Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.