Active NPI
John M McMillin, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
National Provider Identifier
1427031228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3160362
- Practice address
- 8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050 - Phone
- (850) 474-8688
- Fax
- (850) 969-2958
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3160362 | FL | Primary |
Addresses
Primary practice location
8333 N Davis Hwy
West Florida Medical Center Clinic PA
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
Medical Center Clinic Anesthesia
Pensacola, FL 32514-6050
Phone (850) 474-8147
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302111400 | Medicaid | FL | |
| G2261 | Other | FL | BSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Ft. Walton Beach Anesthesia Services LLC | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Fort Walton Beach, FL
- NPI 1245443829
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1427031228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "MEDICAL CENTER CLINIC ANESTHESIA",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8147",
"fax_number": "850-969-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "WEST FLORIDA MEDICAL CENTER CLINIC PA",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8688",
"fax_number": "850-969-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIN",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3160362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302111400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "G2261",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.