Individual provider Active NPI

George Alfred McMillan, M.D.

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1316930753
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
114606-1 Issued in NY
Practice address
14732 Jamaica Ave
Jamaica, NY 11435-4042
Phone
(718) 786-5000
Fax
(718) 291-4214
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 114606-1 NY Primary

Addresses

Primary practice location

14732 Jamaica Ave
Jamaica, NY 11435-4042

Mailing address

14732 Jamaica Ave
Jamaica, NY 11435-4042
Phone (718) 786-5000

Other identifiers 3

IdentifierTypeStateIssuer
P1219635OtherNYOXFORD HEALTH PLAN
00209870MedicaidNY
0004210854OtherNYAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001405 NY Practitioner - Obstetrics/Gynecology 8628041241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114606-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Women'S Medical Center, Inc. CurrentSince Nov 18, 2017 Accepting new patients
George McMillan, M.D. and Associates, P.L.L.C. Obstetrics & Gynecology CurrentSince Mar 22, 2012 Accepting new patients

Locations

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1316930753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-786-5000",
            "fax_number": "718-291-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-786-5000",
            "fax_number": "718-291-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "GEORGE",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "114606-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P1219635",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209870",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004210854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.