Individual provider Active NPI

Taylar S McMillian, FNP-BC

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1396413258
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-164435 Issued in AL
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

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012000854 AL Practitioner - Nurse Practitioner 1153711353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-164435GAMDFamily Nurse Practitioner
1-164435ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Associates of Alabama, LLC Family CurrentSince Oct 1, 2023 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.