Individual provider Active NPI

Marion Reynolds McMillan III, MD

  • Interventional Pain Medicine Physician
  • Florence, SC
National Provider Identifier
1427037167
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
15608 Issued in SC
Practice address
1204 East Cheves Street, Florence, SC 29506-2710
Florence, SC 29506-2710
Phone
(843) 777-7010
Fax
(843) 777-5572
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15608 SC
Anesthesiology Physician 207L00000X 15608 SC
Neurological Surgery Physician 207T00000X 15608 SC
Interventional Pain Medicine Physician 208VP0014X 15608 SC Primary

Addresses

Primary practice location

1204 East Cheves Street, Florence, SC 29506-2710
Florence, SC 29506-2710

Mailing address

457 E Bypass 123
Seneca, SC 29678
Phone (864) 886-9888

Other identifiers 1

IdentifierTypeStateIssuer
156084MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111206000363 SC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 9234220518 Reassigns benefits to 2 organizations
I20230830002845 GA Practitioner - Anesthesiology 9234220518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine, Interventional Pain Management
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

457 A by Pass
Suite 123
Seneca, SC 29678-0842
Phone (864) 886-9888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Physician Group LLC Surgery CurrentSince Aug 1, 2023 Accepting new patients
Stephens County Hospital Physician Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Synergy Spine Center, PA Neurological Surgery CurrentSince Aug 20, 2023 Accepting new patients

Locations

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

457 Highway 123
#D
Seneca, SC 29678
Phone (864) 882-8850

Organizations & group practices 5

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 & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1427037167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 E BYPASS 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29678",
            "telephone_number": "864-886-9888",
            "fax_number": "864-886-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 EAST CHEVES STREET, FLORENCE, SC 29506-2710",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062710",
            "telephone_number": "843-777-7010",
            "fax_number": "843-777-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MARION",
        "middle_name": "REYNOLDS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "15608",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "15608",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "15608",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "15608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156084",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.