Shelley Renea Miller (NPI# 1790793594, PAC ID# 9234155938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790793594 |
| PAC ID by PECOS | 9234155938 |
| Professional Enrollment ID | I20051021000477 |
| Full Name | Shelley Renea Miller |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
4675 Redbud Hwy Honaker VA 24260-8004 |
| Phone Number | 2768736876 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4675 Redbud Hwy, Honaker, VA 24260-8004 | 2768736876 | HOLSTON MEDICAL GROUP PC |
| 495 E Main St, Lebanon, VA 24266-4617 | 2768893700 | HOLSTON MEDICAL GROUP PC |
| 111 Fashion St, Suite D, Pounding Mill, VA 24637-4351 | 2765966375 | CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Jennifer Shafer | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Street Address |
4675 REDBUD HWY |
| City | HONAKER |
| State | VA |
| Zip | 24260-8004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Mckenna Beth Dye | Nurse Practitioner | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Brian T Easton | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Tina Michelle Hill | Nurse Practitioner | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Charlotte A Townsend | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mercedes Danielle Schoonover | Nurse Practitioner | Redbud Family Medicine | 5296 Redbud Hwy, Honaker, VA 24260-7379 |
| Muhammed Javed | Internal Medicine | Muhammad R Javed Md PC | 5296 Redbud Hwy, Honaker, VA 24260-7379 |
| Amanda Combs | Nurse Practitioner | Muhammad R Javed Md PC | 5296 Redbud Hwy, Honaker, VA 24260-7379 |
| Vickie Lynne Stevens | Nurse Practitioner | Redbud Family Medicine | 5296 Redbud Hwy, Honaker, VA 24260-7379 |
| Glenna C Thornsbury | Nurse Practitioner | Muhammad R Javed Md PC | 5296 Redbud Hwy, Honaker, VA 24260-7379 |
| Eric Kendall Barnhart | Chiropractic | 5554 Redbud Hwy, Honaker, VA 24260-7409 |
| City | HONAKER |
| Zip Code | 24260 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HONAKER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelley Renea 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.