Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Theodore Ralph Miller Jr., APRN

Individual provider Nurse Practitioner · NPI 1992560023

Theodore Ralph Miller Jr., APRN is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and North Carolina.

Years since qualifying
3
Licensed in
KY, NC
In the registry since
2024
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
Show map & directions

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

Additional practice locations (2)

  • 800 Rose St, Lexington, KY 40536-0293 — (859) 323-5956
  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-7093

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4063528 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 5019653 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5019653 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5019653 (NC)

Record details

NPI number1992560023
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Carolina Mg LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 712 clinicians in the practice; 12 are shown here.

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