Individual provider Active NPI

Tod Alan McMillan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Knoxville, TN
National Provider Identifier
1023014347
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
29185 Issued in TN
Practice address
1124 E Weisgarber Rd
Ste 207
Knoxville, TN 37909-2686
Phone
(865) 588-0811
Fax
(865) 584-2153
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 29185 TN Primary

Addresses

Primary practice location

1124 E Weisgarber Rd
Ste 207
Knoxville, TN 37909-2686

Mailing address

320 Prosperity Dr
Knoxville, TN 37923-4709
Phone (423) 756-1512

Other identifiers 3

IdentifierTypeStateIssuer
006303447MedicaidVA
180028977OtherTNRAILROAD MEDICARE
3811425MedicaidTN

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
I20040124000225 TN Practitioner - Ophthalmology 5395647812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Retina Associates PCGroup PAC ID 7517862360, 21 clinicians

Practice addresses (Care Compare)

1124 E Weisgarber Rd
Suite 207
Knoxville, TN 37909-2686
Phone (865) 588-0811

140 Capital Dr
Suite 2a
Knoxville, TN 37922-3585
Phone (865) 588-0811

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
86.74
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Retina Associates, P.C. Retina Specialist CurrentSince Jul 1, 1997 Accepting new patients
Southeastern Retina Associates, P.C. Retina Specialist PastSince May 4, 2025 Accepting new patients
Southeastern Retina Associates, P.C. Retina Specialist Past Accepting new patients

Locations

921 Decatur Pike
Ste 929
Athens, TN 37303

320 Prosperity Dr
Knoxville, TN 37923

1928 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-8787

140 Capital Dr
Ste 220
Knoxville, TN 37922

1124 E Weisgarber Rd
Ste 207
Knoxville, TN 37909
Phone (865) 273-0008

1342 Old Weisgarber Rd
Knoxville, TN 37909

140 Capital Dr
Knoxville, TN 37922
Phone (865) 251-0338

140 Capital Dr
Ste 2A
Knoxville, TN 37922

Dept 888128
Knoxville, TN 37995

3101 W Andrew Johnson Hwy
Ste 201
Morristown, TN 37814

3101 W Andrew Johnson Hwy
Morristown, TN 37814

575 Oak Ridge Tpke
Ste 202
Oak Ridge, TN 37830
Phone (865) 482-3127

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

7800 Conner Rd
Powell, TN 37849
Phone (865) 546-1464

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1023014347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234709",
            "telephone_number": "423-756-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD",
            "address_2": "STE 207",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-588-0811",
            "fax_number": "865-584-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "TOD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "29185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028977",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3811425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.