Individual provider Active NPI

Terry Y McMillin, MD

  • Specialist
  • Greenwood, MS
National Provider Identifier
1679505853
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207V00000X Issued in MS
Practice address
203 9TH St
Greenwood, MS 38930-4015
Phone
(662) 459-1367
Fax
(662) 459-1368
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 207V00000X MS Primary

Addresses

Primary practice location

203 9TH St
Greenwood, MS 38930-4015

Mailing address

203 9TH St
Greenwood, MS 38930-4015
Phone (662) 459-1367

Other identifiers 2

IdentifierTypeStateIssuer
00117104MedicaidMS
13194OtherMSSTATE LICENSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060719000342 MS Practitioner - Obstetrics/Gynecology 6709800659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (864) 908-3530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207V00000XMSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. CurrentSince May 1, 2015 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Sanders Clinic for Women PA CurrentSince Mar 20, 2017 Accepting new patients
Obstetrics Gynecology Associates PA CurrentSince May 1, 2016 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

1793 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 842-1161

1041 S Madison St
Tupelo, MS 38801
Phone (601) 844-8754

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4
  • Direct secure messaging: terrymcmillin@nmhs.medalliesdirect.net

Organizations & group practices 6

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1679505853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 9TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304015",
            "telephone_number": "662-459-1367",
            "fax_number": "662-459-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 9TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304015",
            "telephone_number": "662-459-1367",
            "fax_number": "662-459-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "TERRY",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117104",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING",
            "identifier": "13194",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.