Individual provider Active NPI

Lauren Ashley McMillan

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1053167700
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36112 Issued in TN
Practice address
409 Dodds Ave
Chattanooga, TN 37404-3908
Phone
(423) 624-4024
Fax
(423) 624-7048
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36112 TN Primary

Addresses

Primary practice location

409 Dodds Ave
Chattanooga, TN 37404-3908

Mailing address

6918 Shallowford Rd Ste 206
Chattanooga, TN 37421-1782
Phone (423) 855-2552

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001876 TN Practitioner - Nurse Practitioner 9537607957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 18, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Valley Medical Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 18, 2024 Accepting new patients
Comprehensive Medical Care, P.C. Family PastSince Apr 28, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

251 N Lyerly St
Ste 300
Chattanooga, TN 37404
Phone (423) 648-7770

3742 Tennessee Ave
Ste 106
Chattanooga, TN 37409
Phone (423) 939-1500

3800 Tennessee Ave
Ste 124
Chattanooga, TN 37409
Phone (423) 778-2700

409 Dodds Ave
Chattanooga, TN 37404
Phone (423) 624-4024

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1053167700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211782",
            "telephone_number": "423-855-2552",
            "fax_number": "423-510-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043908",
            "telephone_number": "423-624-4024",
            "fax_number": "423-624-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.