Active NPI
William M Milam, M.D.
- Specialist
- Tullahoma, TN
National Provider Identifier
1477556959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000009974
- Practice address
- 1970 N Jackson St
Tullahoma, TN 37388-8240 - Phone
- (931) 455-3399
- Fax
- (931) 455-1806
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000009974 | TN | Primary |
Addresses
Primary practice location
1970 N Jackson St
Tullahoma, TN 37388-8240
Mailing address
1970 N Jackson St
Tullahoma, TN 37388-8240
Phone (931) 455-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3728046 | Other | TN | GROUP NUMBER FOR MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000009974 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M Milam MD PC | Specialist | Current | Accepting new patients |
Locations
1970 N Jackson St
Tullahoma, TN 37388
Phone (931) 455-1026
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": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1477556959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888240",
"telephone_number": "931-455-3399",
"fax_number": "931-455-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888240",
"telephone_number": "931-455-3399",
"fax_number": "931-455-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000009974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER FOR MEDICARE",
"identifier": "3728046",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.