Active NPI
William M Milam MD PC
Doing business as Tullahoma Family Medical Center
- Medical Physician Assistant
- Tullahoma, TN
National Provider Identifier
1679743603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MD000009974
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William M Milam, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3728046 | Other | TN | MEDICARE GROUP |
| 3169159 | Medicaid | TN |
Other names 1
- Tullahoma Family Medical Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Tullahoma, TN
- NPI 1477556959
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.