Individual provider Active NPI

Ginger McMillian, FNP-C

  • Family Nurse Practitioner
  • Montgomery, TX
National Provider Identifier
1306237664
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127402 Issued in TX
Practice address
19782 Highway 105 W Ste 111
Montgomery, TX 77356-3104
Phone
(936) 582-0220
Fax
(936) 582-0222
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127402 TX Primary

Addresses

Primary practice location

19782 Highway 105 W Ste 111
Montgomery, TX 77356-3104

Mailing address

19782 Highway 105 W Ste 111
Montgomery, TX 77356-3104
Phone (936) 582-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031002236 TX Practitioner - Nurse Practitioner 7517233828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McWilliams Family Medicine PLLCGroup PAC ID 5294066213, 2 clinicians

Practice addresses (Care Compare)

19782 Hwy 105 W 111
Stone Creek Family Medicine
Montgomery, TX 77356-3104
Phone (936) 582-0220

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McWilliams Family Medicine PLLC Family CurrentSince Nov 1, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

19782 Highway 105 W
Ste 111
Montgomery, TX 77356
Phone (936) 582-0220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAAAA/Endpoint/HDAAAA

Organizations & group practices 2

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 4

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1306237664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W STE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563104",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W STE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563104",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "GINGER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.