Active NPI
Van Millin, DO
- Family Medicine Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66530
- Practice address
- 303 Smith St
Lagrange, GA 30240-2745 - Phone
- (706) 882-8831
- Fax
- (706) 812-4091
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB07490900 | NJ | |
| Family Medicine Physician | 207Q00000X | 25MB07490900 | NJ | |
| Family Medicine Physician | 207Q00000X | 66530 | GA | Primary |
Addresses
Primary practice location
303 Smith St
Lagrange, GA 30240-2745
Mailing address
303 Smith St
Lagrange, GA 30240-2745
Phone (706) 882-8831
Other practice location 1
6875 Douglas Blvd
Suite A
Douglasville, GA 30135
Phone (609) 926-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Herren Hill Rd
Tallassee, AL 36078-1264
805 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-6541
875 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-3111
Hospital & facility affiliations
- Community Home Health
- Community Hospital Inc
- Baptist Medical Center South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1211 | AL | MD | Psychologist |
| 66530 | GA | MD | Family Medicine Physician |
| 25MB07490900 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Inc | Family Medicine | Current | Accepting new patients |
| Community Hospital Inc | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
| Pinnacle Enterprises PC | Family Medicine | Current | Accepting new patients |
| Community Hospital Inc | Family Medicine | Current | Accepting new patients |
| Community Hospital Inc | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Past | Accepting new patients | |
| Total Healthcare II, LLC | Past | Accepting new patients | |
| Community Hospital | Past | Accepting new patients | |
| Mainland Family Medicine, PC | Family Medicine | Past | Accepting new patients |
Locations
3700 S Railroad St
Ste A
Phenix City, AL 36867
Phone (334) 664-0463
875 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-3111
805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541
301 Wright St
Tuskegee, AL 36083
Phone (334) 241-5224
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
6875 Douglas Blvd
Ste A
Douglasville, GA 30135
Phone (678) 838-2225
303 Smith St
Lagrange, GA 30240
Phone (706) 812-4238
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/commal-d9d80e4d
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Emergency Medicine, GA
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Family Medicine, GA
-
- General Practice Physician
- Phenix City, AL
- NPI 1447374640
AL, Family Medicine
-
- Family Medicine Physician
- Somers Point, NJ
- NPI 1831391549
Family Medicine
-
- Rural Acute Care Hospital
- Tallassee, AL
- NPI 1730120726
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Sandy Springs, GA
- NPI 1851559793
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1477799294
-
- General Acute Care Hospital
- Tallassee, AL
- NPI 1447218235
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tallassee, AL
- NPI 1952958019
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275682247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SMITH ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402745",
"telephone_number": "706-882-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SMITH ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402745",
"telephone_number": "706-882-8831",
"fax_number": "706-812-4091"
}
],
"practiceLocations": [
{
"address_1": "6875 Douglas Blvd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "30135",
"country_code": "US",
"telephone_number": "609-926-2560",
"fax_number": "609-926-4177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLIN",
"first_name": "VAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB07490900",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB07490900",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "66530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.