Jake C. McMillin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

58987 Issued in TN

Practice address

10841 Hardin Valley Rd
Knoxville, TN 37932-1410

Phone

(865) 584-0905

Fax

(865) 584-3892

NPI assigned

Mar 29, 2014

Last updated

May 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of South Carolina School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell Cunningham Taylor PCGroup PAC ID 0244216562, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmcmillin@ccth.intellechartdirect.net

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.

• Campbell Cunningham Taylor PC

  • Optometrist
  • Knoxville, TN
  • NPI 1407850944
  Medicare reassignment Care Compare group NPD
• Campbell Cunningham Taylor PC

  dba Campbell, Cunningham, & Taylor Optical Dispensary

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1902008162
  NPD
• Campbell Cunningham & Taylor, PC

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1811224348
  NPD (past)

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

• Prisma Health - Blount Memorial Hospital Inc.

  dba Blount Memorial Hospital

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  Care Compare affiliation

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1205254190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-584-2127",
            "fax_number": "865-392-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321410",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3827 Southwestern St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770054336",
            "country_code": "US",
            "telephone_number": "423-571-9399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St # Nc205",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "423-571-9399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Smithview Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378036100",
            "country_code": "US",
            "telephone_number": "865-984-7012",
            "fax_number": "865-981-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4613 Papermill Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091971",
            "country_code": "US",
            "telephone_number": "865-584-8551",
            "fax_number": "865-584-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "962 Dolly Parton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378623707",
            "country_code": "US",
            "telephone_number": "865-428-8000",
            "fax_number": "865-428-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4829 N Broadway St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379182067",
            "country_code": "US",
            "telephone_number": "865-851-8558",
            "fax_number": "865-500-8153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12744 Kingston Pike Ste 108",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379340941",
            "country_code": "US",
            "telephone_number": "865-934-1700",
            "fax_number": "865-392-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Keller Ln",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378016201",
            "country_code": "US",
            "telephone_number": "865-681-3937",
            "fax_number": "865-681-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 E Weisgarber Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37909",
            "country_code": "US",
            "telephone_number": "865-584-2127 x322",
            "fax_number": "865-392-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 E Weisgarber Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37909",
            "country_code": "US",
            "telephone_number": "865-584-2127 x322",
            "fax_number": "865-392-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "JAKE",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "58987",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TN",
            "license": "58987",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "R6836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A McMillan, N.P.
• Susan Raines McMillan, RN, MSN
• Tod Alan McMillan, M.D.
• Grady McMillen
• Jennifer Leigh McMillen, MD
• June McMillin, M. D.
• Summers Kimbrough McMurray, PSYD
• Trudy McMurtery
• Cynthia McNabb-Utrera
• Kellie McNabb

• Ophthalmology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.

Verify at the official NPI Registry.