Active NPI
Taylar S McMillian, FNP-BC
- Family Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1396413258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-164435
- Practice address
- 7715 Averiett Dr
Montgomery, AL 36116-8865 - Phone
- (334) 232-0355
- Fax
- (334) 234-8837
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-164435 | AL | |
| Acute Care Nurse Practitioner | 363LA2100X | 1-164435 | AL | |
| Adult Health Nurse Practitioner | 363LA2200X | 1-164435 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-164435 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | 1-164435 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-164435 | AL | Primary |
Addresses
Primary practice location
7715 Averiett Dr
Montgomery, AL 36116-8865
Mailing address
7715 Averiett Dr
Montgomery, AL 36116-8865
Phone (334) 232-0355
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-164435 | GA | MD | Family Nurse Practitioner |
| 1-164435 | AL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Associates of Alabama, LLC | Family | Current | Accepting new patients |
Locations
42 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 603-6626
6228 Bradley Park Dr
Ste A
Columbus, GA 31904
Phone 7063221486203
Interoperability endpoints
- tmcmillian35301@direct.davitaphysiciansolutions.com
Organizations & group practices 1
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": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1396413258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7715 AVERIETT DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361168865",
"telephone_number": "334-232-0355",
"fax_number": "334-234-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7715 AVERIETT DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361168865",
"telephone_number": "334-232-0355",
"fax_number": "334-234-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "TAYLAR",
"middle_name": "S",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-164435",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-164435",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-164435",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "1-164435",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-164435",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-164435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.