Dustin Lance Millican, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD33517 Issued in AL

Practice address

1007 Goodyear Ave
Gadsden, AL 35903-1195

Phone

(256) 494-4768

Fax

(256) 494-4793

NPI assigned

Jul 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Oak Mountain Group Services, LLC

  • Hospitalist Physician
  • Birmingham, AL
  • NPI 1366840761
  Medicare reassignment NPD
• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Cullman, AL
  • NPI 1508292657
  NPD
• Oak Mountain Group Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vestavia Hills, AL
  • NPI 1609321165
  NPD
• St. Vincent'S Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent'S Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1396090445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4768",
            "fax_number": "256-494-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4768",
            "fax_number": "256-494-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLICAN",
        "first_name": "DUSTIN",
        "middle_name": "LANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L3459.R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD33517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Pharmacy LLC
• Larry Daniel Miles, LPTA
• Anjanette H Miller, CRNA
• Lauren E Miller, P.A.
• Wendy Paige Miller, CRNP
• Matthew Mills, P.T.
• Ali Mitchell, PHARMD
• Austin Taylor Mitchell
• Corie Mitchell, CRNP
• George Lewis Mitchell Jr., DMD

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.