Whitney Pugh Millican, FNP
Individual provider Active NPI Family Nurse Practitioner · Munford, TN
NPI 1508152836 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1508152836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 15920 (TN)
- Practice address
- 99 Doctors Dr
Munford, TN 38058-6305 - Phone
- (901) 837-7200
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Francis Physician Network, LLC
Practice addresses (Care Compare)
99 Doctors Dr
Suite 700
Munford, TN 38058-6306
Phone (901) 837-7200
Hospital & facility affiliations
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital
- Methodist Hospitals of Memphis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230314001903 | TN | Practitioner - Nurse Practitioner | 7618341611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Physician Network, LLC | Current |
Accepting new patients | |
| Branch Medical Clinic Mid-South | Past | Accepting new patients | |
| May Medical Group P.C. | Past |
Accepting new patients |
Locations
6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205
99 Doctors Dr
Ste 700
Munford, TN 38058
Phone (901) 301-2971
Interoperability endpoints
- whitney.millican.1@16700.direct.athenahealth.com
- https://api.platform.athenahealth.com/2031/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15920 | TN | Yes |
Addresses
Primary practice location
99 Doctors Dr
Munford, TN 38058-6305
Mailing address
99 Doctors Dr
Munford, TN 38058-6305
Phone (901) 837-7200
Other providers in Munford, TN
- May Medical Group P.C.
- Jeffery A May
- James Peter McLemore IV
- William Stanley McMahon
- Midsouth Sonograms LLC
- Robert Moody
- John R Nichols
- Mary Nobert
- Alexander Wayne Parham
- Mitchell S Parker
All providers in Munford, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.