Organization Active NPI

William M Milam MD PC

Doing business as Tullahoma Family Medical Center

  • Medical Physician Assistant
  • Tullahoma, TN
National Provider Identifier
1679743603
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MD000009974 Issued in TN
Legal business name
WILLIAM M MILAM MD PC
Doing business as
Tullahoma Family Medical Center
Practice address
1970 North Jackson Street
Tullahoma, TN 37388
Phone
(931) 455-3399
Fax
(931) 455-1806
NPI assigned
Mar 5, 2008
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. William M Milam, MDNPI 1477556959
Title
Physician Owner
Phone
(931) 455-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MD000009974 TN Primary
Medical Physician Assistant 363AM0700X MN1186875 TN
Specialist 174400000X MD0000009974 TN

Addresses

Primary practice location

1970 North Jackson Street
Tullahoma, TN 37388

Mailing address

1970 North Jackson Street
P O Box 1147
Tullahoma, TN 37388
Phone (931) 455-3399

Other identifiers 2

IdentifierTypeStateIssuer
3728046OtherTNMEDICARE GROUP
3169159MedicaidTN

Other names 1

  • Tullahoma Family Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1679743603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 NORTH JACKSON STREET",
            "address_2": "P O BOX 1147",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-455-3399",
            "fax_number": "931-455-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 NORTH JACKSON STREET",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-455-3399",
            "fax_number": "931-455-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M MILAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "931-455-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "MD000009974",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "MN1186875",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000009974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3728046",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169159",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tullahoma Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.