DW McMillan Surgical Group LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DW MCMILLAN SURGICAL GROUP LLC

Practice address

1123 Belleville Ave
Brewton, AL 36426-1505

Phone

(251) 867-8001

Fax

(251) 867-9643

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Rick Owens

Title

Administrator

Phone

(251) 809-8410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• DW McMillan Memorial Hospital

  dba D W McMillan Primary Care

  • General Practice Physician
  • Brewton, AL
  • NPI 1497390447

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Eppinger Boshell, M.D.

  • Surgery Physician
  • Brewton, AL
  • NPI 1356308076
  Medicare reassignment Care Compare group NPD
• Michael Trace Stafford, D.O.

  • Surgery Physician
  • Brewton, AL
  • NPI 1356757991
  Medicare reassignment Care Compare group NPD
• Paul Stevens, DO

  • Surgery Physician
  • Brewton, AL
  • NPI 1902289002
  Medicare reassignment Care Compare group NPD
• Melissa Gail Kilcrease

  • Family Nurse Practitioner
  • Flomaton, AL
  • NPI 1023596871
  NPD (past)
• Craig A Peterson, M.D.

  • Surgery Physician
  • Brewton, AL
  • NPI 1184681967
  NPD (past)
• NPI 1639384100

  • NPI 1639384100

  Surgery

  NPD (past)
• Roy Franklin Roberts Jr., M.D.

  • Surgery Physician
  • Knoxville, TN
  • NPI 1841222759
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1093304644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261505",
            "telephone_number": "251-867-8001",
            "fax_number": "251-867-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW MCMILLAN SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-809-8410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Home Healthcare Services
• Dialysis Affiliates of South Alabama
• DW McMillan Memorial Hospital
• DW McMillan Memorial Hospital
• DW McMillan Memorial Hospital (D W McMillan Primary Care)
• Nicole Marie Eagle, PHARMD
• En Touch Counseling & Consulting LLC
• Escambia County
• Escambia County Health Care Authority
• Escambia County Health Care Authority (D. W. McMillan After Hours Clinic)

• Surgery Physician in Brewton, AL
• Providers in Brewton, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.