Individual provider Active NPI

Chandler Blair Milliorn, PA-C

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1134640865
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11614 Issued in TX
Practice address
1665 Antilley Rd Ste 230
Abilene, TX 79606-5291
Phone
(325) 437-8664
Fax
(325) 794-5354
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA11614 TX Primary

Addresses

Primary practice location

1665 Antilley Rd Ste 230
Abilene, TX 79606-5291

Mailing address

5401 Knollwood Dr
Abilene, TX 79606-4315
Phone (325) 201-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171228000775 TX Practitioner - Physician Assistant 5395003180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1665 Antilley Rd
Abilene, TX 79606-5249

1665 Antilley Rd
Abilene, TX 79606-5264

1665 Antilley Rd
Abilene, TX 79606-5265
Phone (855) 850-0638

1665 Antilley Rd
Abilene, TX 79606-5271

1665 Antilley Rd
Suite 230
Abilene, TX 79606-5291
Phone (325) 437-2001

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11614TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1665 Antilley Rd
Ste 120
Abilene, TX 79606
Phone (325) 695-6011

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 230
Abilene, TX 79606
Phone (325) 437-2001

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

1900 Pine St
#1502
Abilene, TX 79601

Interoperability endpoints

  • Direct secure messaging: chandler.milliorn.1@23308.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1134640865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 KNOLLWOOD DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064315",
            "telephone_number": "325-201-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD STE 230",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065291",
            "telephone_number": "325-437-8664",
            "fax_number": "325-794-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIORN",
        "first_name": "CHANDLER",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.