Mandy Carter McMillan, PA-C
Individual provider Active NPI Physician Assistant · Nashville, GA
NPI 1356777205 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1356777205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 006991 (GA)
- Practice address
- 416 E McPherson Ave
Suite a
Nashville, GA 31639-2276 - Phone
- (229) 686-2093
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tift Regional Health System Inc
Practice addresses (Care Compare)
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
Hospital & facility affiliations
- Tift Regional Medical Center
- Southwell Medical, a Campus of TRMC
- SGMC Berrien Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131125000795 | GA | Practitioner - Physician Assistant | 5991931883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006991 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current |
Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current |
Accepting new patients | |
| Tift Regional Health System Inc | Current |
Accepting new patients |
Locations
172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424
416 E McPherson Ave
Ste A
Nashville, GA 31639
Phone (229) 686-2093
907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422
907 18th St E
Ste 400
Tifton, GA 31794
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
Interoperability endpoints
- mandy.mcmillan@trhs.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006991 | GA | Yes |
Addresses
Primary practice location
416 E McPherson Ave
Suite a
Nashville, GA 31639-2276
Mailing address
907 18TH St E
Suite 150
Tifton, GA 31794-3643
Phone (229) 353-3422
Other providers in Nashville, GA
- Mandy Katrice Lucas
- Magnolia Urgent Care & Wellness Center LLC
- Griffin Martin
- Mallory Mathis
- Nicole L McCants
- R Craig Merrifield
- Summer Maria Mingo
- Anna D Money
- Monica a Purvis LPC
- Wendy Jamison Morgan
All providers in Nashville, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.