Individual provider Active NPI

Stuart David Milan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1689766958
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
850823 Issued in MS
Practice address
2655 Lakeland Dr
Flowood, MS 39232-9516
Phone
(601) 957-7343
Fax
(601) 957-7344
NPI assigned
Sep 28, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 850823 MS Primary

Addresses

Primary practice location

2655 Lakeland Dr
Flowood, MS 39232-9516

Mailing address

48 Medical Park Dr E Ste 453
Birmingham, AL 35235-3472
Phone (205) 208-9312

Other practice location 1

605 2nd Ave N
Columbus, MS 39701-4513
Phone (662) 434-4210

Other practice location 2

801 Hill St Ste A
Springfield, TN 37172-2951
Phone (615) 382-3002

Other practice location 3

37 Sandstone Cir Ste 92
Jackson, TN 38305-3168
Phone (731) 265-6025

Other identifiers 2

IdentifierTypeStateIssuer
00018209MedicaidMS
Q071476MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190529000481 MS Practitioner - Nurse Practitioner 6305189788 Reassigns benefits to 2 organizations
I20220214002105 TN Practitioner - Nurse Practitioner 6305189788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathway Healthcare- Mississippi LLCGroup PAC ID 3779844774, 7 clinicians
Impact Healthcare, PLLCGroup PAC ID 5991065427, 7 clinicians

Practice addresses (Care Compare)

605 2ND Ave N
Columbus, MS 39701-4513
Phone (662) 434-4210

801 Hill St
Suite 200
Springfield, TN 37172-2951
Phone (615) 382-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
850823MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Healthcare- Mississippi LLC CurrentSince Mar 1, 2023 Accepting new patients
Impact Behavioral Counseling LLC CurrentSince Mar 25, 2019 Accepting new patients
Impact Healthcare, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Impact Healthcare, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Pathway Healthcare- Columbus, Ms LLC PastSince Dec 1, 2017 Accepting new patients
Pathway Healthcare-Louisiana, LLC Past Accepting new patients
Pathway Healthcare- Columbus, Ms LLC Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730

1000 Urban Center Dr
Ste 600
Vestavia, AL 35242
Phone (205) 208-0312

3600 Bluecutt Rd
Ste 201
Columbus, MS 39705
Phone (662) 329-3973

3600 Bluecutt Rd
Ste 202
Columbus, MS 39705
Phone (662) 434-4210

1200 N State St
Ste 450
Jackson, MS 39202
Phone (601) 957-7343

2655 Lakeland Dr
Jackson, MS 39232
Phone (601) 714-2230

5 Dunnbarr
Laurel, MS 39440
Phone (662) 434-4210

4075 Pemberton Square Blvd
Vicksburg, MS 39180
Phone (601) 883-0264

37 Sandstone Cir
Ste 92
Jackson, TN 38305
Phone (731) 265-6025

37 Sandstone Cir
Ste 92B
Jackson, TN 38305
Phone (731) 265-6025

1101 Fox Meadows Blvd
Ste 105
Sevierville, TN 37862
Phone (615) 382-3002

801 Hill St
Ste 200
Springfield, TN 37172
Phone (615) 382-3002

801 Hill St
Ste A
Springfield, TN 37172
Phone (615) 382-3002

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1689766958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 453",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353472",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329516",
            "telephone_number": "601-957-7343",
            "fax_number": "601-957-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397014513",
            "country_code": "US",
            "telephone_number": "662-434-4210",
            "fax_number": "662-657-1044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Hill St Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371722951",
            "country_code": "US",
            "telephone_number": "615-382-3002",
            "fax_number": "615-953-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Sandstone Cir Ste 92",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053168",
            "country_code": "US",
            "telephone_number": "731-265-6025",
            "fax_number": "731-265-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAN",
        "first_name": "STUART",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "850823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018209",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q071476",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.