Organization Active NPI

Milligan Surgical Associates, PLLC

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1275905440
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MILLIGAN SURGICAL ASSOCIATES, PLLC
Practice address
1919 Pinnacle Pointe Way
Knoxville, TN 37922
Phone
(865) 347-2960
Fax
(865) 851-8758
NPI assigned
Oct 27, 2015
Organization subpart
Yes
Parent organization
MILLIGAN SURGICAL ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mr. John L. Milligan, M.D.
Title
MD
Phone
(865) 347-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X TN Primary

Addresses

Primary practice location

1919 Pinnacle Pointe Way
Knoxville, TN 37922

Mailing address

1919 Pinnacle Pointe Way
Knoxville, TN 37922
Phone (865) 347-2960

Other identifiers 1

IdentifierTypeStateIssuer
1519350MedicaidTN

National Provider Directory

National Provider Directory
Part of
Milligan Surgical Associates PLLC

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1275905440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 PINNACLE POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-347-2960",
            "fax_number": "865-851-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 PINNACLE POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-347-2960",
            "fax_number": "865-851-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIGAN SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLIGAN SURGICAL ASSOCIATES, PLLC",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "865-347-2960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519350",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.