Individual provider Active NPI

Van Millin, DO

  • Family Medicine Physician
  • Lagrange, GA
National Provider Identifier
1275682247
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66530 Issued in GA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111219000628 GA Practitioner - Family Practice 6709863129 Reassigns benefits to 3 organizations
I20220902001403 AL Practitioner - Family Practice 6709863129 Reassigns benefits to 1 organization

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
Community Hospital IncGroup PAC ID 2062408487, 15 clinicians

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 Home health agency, Tallassee, AL, CCN 017135
  • Community Hospital Inc Hospital, Tallassee, AL, CCN 010034
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1211ALMDPsychologist
66530GAMDFamily Medicine Physician
25MB07490900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Community Hospital Inc Current Accepting new patients
Emory Specialty Associates, LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Feb 22, 2012 Accepting new patients
Pinnacle Enterprises PC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Community Hospital Inc Family Medicine CurrentSince Sep 1, 2022 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 PastSince Sep 23, 2004 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.