Active NPI
Trina Nobles McMillan, APRN, FNP-C
- Family Nurse Practitioner
- Pendergrass, GA
National Provider Identifier
1265636096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN102265
- Practice address
- 977 Wayne Poultry Rd
Pendergrass, GA 30567-3915 - Phone
- (706) 405-3799
- Fax
- (706) 749-7954
- NPI assigned
- Jun 14, 2007
- Last updated
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN102265 | GA | Primary |
Addresses
Primary practice location
977 Wayne Poultry Rd
Pendergrass, GA 30567-3915
Mailing address
977 Wayne Poultry Rd
Pendergrass, GA 30567-3915
Phone (706) 405-3799
Other practice location 1
12 7th St
Auburn, GA 30011-3202
Phone (770) 822-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Health Care Services, PC | Current | Accepting new patients |
Locations
977 Wayne Poultry Rd
Pendergrass, GA 30567
Phone (706) 405-3799
Interoperability endpoints
- trina.mcmillan.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Pendergrass, GA
- NPI 1588298632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1265636096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 WAYNE POULTRY RD",
"city": "PENDERGRASS",
"state": "GA",
"postal_code": "305673915",
"telephone_number": "706-405-3799",
"fax_number": "706-749-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 WAYNE POULTRY RD",
"city": "PENDERGRASS",
"state": "GA",
"postal_code": "305673915",
"telephone_number": "706-405-3799",
"fax_number": "706-749-7954"
}
],
"practiceLocations": [
{
"address_1": "12 7th St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "GA",
"postal_code": "300113202",
"country_code": "US",
"telephone_number": "770-822-5555",
"fax_number": "770-822-6117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "TRINA",
"middle_name": "NOBLES",
"name_prefix": "Ms.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN102265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pendergrass, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.