NPIMap

Organization Active NPI

DW McMillan Memorial Hospital

Doing business as D W McMillan Primary Care

  • General Practice Physician
  • Brewton, AL
National Provider Identifier
1497390447
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DW MCMILLAN MEMORIAL HOSPITAL
Doing business as
D W McMillan Primary Care
Practice address
1311 McMillan Ave
Brewton, AL 36426-1324
Phone
(251) 809-3120
NPI assigned
Nov 14, 2019
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DW MCMILLAN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Rick Owens
Title
Administrator
Phone
(251) 809-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1311 McMillan Ave
Brewton, AL 36426-1324

Mailing address

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (251) 809-8329

Other names 1

  • D W McMillan Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwmccd@echa.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000338 AL Part B Supplier - Clinic/Group Practice 3072558378 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brewton, AL; Castleberry, AL; Flomaton, AL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Escambia Cod W McMillan6 organizations share this tax ID, including this one
Part of
Escambia Cod W McMillan

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1311 McMillan Ave
Brewton, AL 36426
Phone (251) 809-3120

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1497390447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261306",
            "telephone_number": "251-809-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MCMILLAN AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261324",
            "telephone_number": "251-809-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW MCMILLAN MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DW MCMILLAN MEMORIAL HOSPITAL",
        "enumeration_date": "2019-11-14",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-809-8410"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwmccd@echa.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "D W McMillan Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1301 Belleville Ave",
            "city": "Brewton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364261306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "D W McMillan Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D W McMillan Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.