Millennia Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MILLENNIA MEDICAL LLC

Practice address

864 W Church St Ste a
Lexington, TN 38351-1744

Phone

(731) 249-9777

Fax

(731) 249-5011

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candace Willis, FNPNPI 1659627388

Title

Owner/Partner

Phone

(731) 249-9777

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace S Willis, FNP

  • Family Nurse Practitioner
  • Erin, TN
  • NPI 1659627388

  Family Medicine

  NPD (past) Authorized official
• Deborah Hopper, FNP

  • Family Nurse Practitioner
  • Lexington, TN
  • NPI 1447502158
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1295273993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 W CHURCH ST STE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511744",
            "telephone_number": "731-249-9777",
            "fax_number": "731-249-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 W CHURCH ST STE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511744",
            "telephone_number": "731-249-9777",
            "fax_number": "731-249-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "731-249-9777",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca McPeake, OTR/L
• Ashley Kate Melton, CPNP
• Stephen David Merrill, D.C.
• Brett Ryan Michum, PT, DPT
• Tammy Colwick Milholen, NP-C
• Shelby Mills, PHARM.D.
• Todd Minor, PTA
• Kary McPherson Morford, APN
• Keith Robert Murray, ATC/L
• MV Clinic PLLC

• General Practice Physician in Lexington, TN
• Providers in Lexington, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.