Individual provider Active NPI

Scott Michael McMillan, CRNA

  • Certified Registered Nurse Anesthetist
  • Roxboro, NC
National Provider Identifier
1659327039
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
172189 Issued in NC
Practice address
615 Ridge Rd
Suite 202
Roxboro, NC 27573-4629
Phone
(336) 503-5640
Fax
(336) 503-5777
NPI assigned
May 26, 2006
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 172189 NC Primary

Addresses

Primary practice location

615 Ridge Rd
Suite 202
Roxboro, NC 27573-4629

Mailing address

PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-3159

Other practice location 1

601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6000

Other identifiers 1

IdentifierTypeStateIssuer
8052261MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041208000146 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082670310 Reassigns benefits to 9 organizations
I20150414002113 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082670310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
59NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 5, 2026 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Greensboro Anesthesia Specialists Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Chatham Hospital Inc CurrentSince Oct 21, 2025 Accepting new patients
Granville Health System CurrentSince Jun 24, 2017 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2017 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 5, 2023 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2018 Accepting new patients
Chatham Hospital, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Chatham Hospital Inc CurrentSince Oct 21, 2025 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 5, 2023 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

615 Ridge Rd
Ste 202
Roxboro, NC 27573
Phone (336) 503-5640

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

1219 Lexington Ave
Ste A
Thomasville, NC 27360
Phone (336) 324-3116

875 Bethesda Rd
Winston Salem, NC 27103
Phone (336) 448-2427

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

1714 E Hundred Rd
Ste 104
Chester, VA 23836
Phone (804) 681-0556

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

501 Rison St
Ste 130
Danville, VA 24541
Phone (434) 429-4290

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1659327039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101385",
            "telephone_number": "252-209-3159",
            "fax_number": "252-209-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RIDGE RD",
            "address_2": "SUITE 202",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734629",
            "telephone_number": "336-503-5640",
            "fax_number": "336-503-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-878-6000",
            "fax_number": "336-878-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "172189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052261",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.