Individual provider Active NPI

Jared Thomas McMillan, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1649977901
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12952 Issued in NC
Practice address
120 William Penn PLZ
Durham, NC 27704-2150
Phone
(919) 220-5255
NPI assigned
Feb 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12952 NC Primary

Addresses

Primary practice location

120 William Penn PLZ
Durham, NC 27704-2150

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

408 E Hargett St Apt 262
Raleigh, NC 27601-3145
Phone (513) 479-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000114 NC Practitioner - Physician Assistant 7214377282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy Medical Center IncGroup PAC ID 7416856547, 70 clinicians

Practice addresses (Care Compare)

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (828) 837-1031

3990 E US Hwy 64 Alt
Murphy, NC 28906-6843
Phone (828) 837-8161

Hospital & facility affiliations

  • Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Medical Center, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Emergeortho PA CurrentSince Jun 23, 2025 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Jun 23, 2025 Accepting new patients

Locations

100 Perkins Dr
Chapel Hill, NC 27514
Phone (919) 942-3171

7810 NC 751 Hwy
Durham, NC 27713
Phone (919) 544-7270

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

4130 US Highway 64 E
Murphy, NC 28906
Phone (704) 837-8161

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Organizations & group practices 4

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 2

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1649977901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E Hargett St Apt 262",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013145",
            "country_code": "US",
            "telephone_number": "513-479-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "JARED",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.