Active NPI
John Charles Millard, PA-C
- Physician Assistant
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006241
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 935-5000
- NPI assigned
- Nov 23, 2011
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006241 | MI | Primary |
| Surgical Physician Assistant | 363AS0400X | 5601006241 | MI |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7965
Other practice location 2
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmillard1471221@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006241 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| Iha Olma Specialty 1 LLC | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Regents of the University of Michigan | Physician Assistant | Current | Accepting new patients |
| Iha Olma Specialty 1 LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250
19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
Interoperability endpoints
- jmillard1246896@epic00.shdirect.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Physician Assistant
- Ann Arbor, MI
- NPI 1689609448
-
dba IHA Obstetrics & Gynecology Livonia
- Obstetrics & Gynecology Physician
- Livonia, MI
- NPI 1891371118
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Surgical Critical Care Physician
- Livonia, MI
- NPI 1114667144
-
dba IHA Orthopedics Livonia
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1790304053
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1033486733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-935-5000"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLARD",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-23",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006241",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601006241",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmillard1471221@direct.beaumont.edu",
"affiliation": "N",
"address_1": "18101 Oakwood Blvd",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481244089",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.