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Samantha Marie Miller

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

11220 Elm Ln Ste 102, Charlotte, NC 28277-0716

PECOS Enrollment

This provider is enrolled in PECOS as SAMANTHA MILLER.

Based on the most recent information from CMS, provider Samantha Marie Miller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134889579
Provider Type
Individual
Full Name
Miller, Samantha Marie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/27/2021
Last Updated
1/15/2025

Contact Information

Practice Location

11220 Elm Ln Ste 102, Charlotte, NC 28277-0716

(704) 847-4000

(704) 847-4001

Mailing Location

11220 Elm Ln Ste 102, Charlotte, NC 28277-0716

(704) 847-4000

(704) 847-4001

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-12347 North Carolina

Samantha Marie Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kauer, Lauren Steele

Ross, Taylor

White, Catherine

Whitman, Kyle Phillip

Guerrero, Stefani Viviane

Pounds, Parker Elizabeth

Hoskins, Mallory Ann

Wood, Kelly Carroll

Allen, Laura

Kinzel, Alexandria Nicole