Individual provider Active NPI

Leah Carol McMillan, DPA, LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1053527945
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001032 Issued in GA
Practice address
3790 Old US Highway 41 N Ste a
Valdosta, GA 31602-6865
Phone
(229) 262-1000
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001032 GA Primary

Addresses

Primary practice location

3790 Old US Highway 41 N Ste a
Valdosta, GA 31602-6865

Mailing address

3790 Old US Highway 41 N Ste a
Valdosta, GA 31602-6865
Phone (229) 262-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206001652 GA Practitioner - Marriage and Family Therapist 0941659726 Practice locations: Valdosta, GA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3790 Old US 41
Suite a
Valdosta, GA 31602-6865
Phone (229) 262-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1053527945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026865",
            "telephone_number": "229-262-1000",
            "fax_number": "229-262-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026865",
            "telephone_number": "229-262-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "LEAH",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DPA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.