Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James David Miller, PAC

Individual provider Physician Assistant · NPI 1710970801

James David Miller, PAC is a Physician Assistant in Montgomery, West Virginia. Qualified in 2004, 22 years ago. Practices with Msrc LLC, a 3-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
22
Licensed in
WV
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

401 6th Ave Ste 301
Montgomery, WV 25136-2116
Phone: (304) 442-5151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 01096 (WV)

Record details

NPI number1710970801
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address116 Hidden Valley Ests, Scott Depot, WV 25560-9301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Msrc Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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