Individual provider Active NPI

Rodney Moore McMillin, M.D.

  • Family Medicine Physician
  • Harriman, TN
National Provider Identifier
1013901289
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11665 Issued in TN
Practice address
408 N Roane St
Harriman, TN 37748-2057
Phone
(865) 882-3745
Fax
(865) 882-6072
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11665 TN Primary

Addresses

Primary practice location

408 N Roane St
Harriman, TN 37748-2057

Mailing address

408 N Roane St
Harriman, TN 37748-2057
Phone (865) 882-3745

Other identifiers 3

IdentifierTypeStateIssuer
3189752OtherTNRAILROAD MEDICARE
Q066115MedicaidTN
3189752MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address McMillin.Rodney@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000502 TN Practitioner - Family Practice 0446375810 Reassigns benefits to 1 organization
Practice locations: Harriman, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

1855 Tanner Way
Suite 220
Harriman, TN 37748-8332
Phone (865) 882-2442

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Covenant Homecare Home health agency, Knoxville, TN, CCN 447139
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
87.67 of 100Reported as individual
Quality
77.58
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Roane County Medical Center Past Accepting new patients
W E Bennett MD Past Accepting new patients

Locations

1855 Tanner Way
Ste 200
Harriman, TN 37748
Phone (865) 376-6272

1855 Tanner Way
Ste 220
Harriman, TN 37748
Phone (865) 882-2442

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • MS PPO
  • KY PPO

Interoperability endpoints

  • Direct secure messaging: mcmillin.rodney@covenanthealth.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1013901289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N ROANE ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482057",
            "telephone_number": "865-882-3745",
            "fax_number": "865-882-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N ROANE ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482057",
            "telephone_number": "865-882-3745",
            "fax_number": "865-882-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "RODNEY",
        "middle_name": "MOORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "3189752",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066115",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189752",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "McMillin.Rodney@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "408 N Roane St",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377482057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.