Active NPI
Lacey McMillan, MD
- Trauma Surgery Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- T3133
- Practice address
- 630 S Fleishel Ave
Tyler, TX 75701-2041 - Phone
- (903) 606-5560
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 1017531 | MA | |
| Trauma Surgery Physician | 2086S0127X | DR.0068531 | CO | |
| Trauma Surgery Physician | 2086S0127X | 2026-00086 | NC | |
| Trauma Surgery Physician | 2086S0127X | 0101286193 | VA | |
| Trauma Surgery Physician | 2086S0127X | 2024044388 | MO | |
| Trauma Surgery Physician | 2086S0127X | T3133 | TX | Primary |
| Surgery Physician | 208600000X | TRN23830 | FL | |
| Trauma Surgery Physician | 2086S0127X | ME148659 | FL |
Addresses
Primary practice location
630 S Fleishel Ave
Tyler, TX 75701-2041
Mailing address
27617 Tierra del Sol LN
Bonita Springs, FL 34135-3553
Phone (305) 619-1680
Other practice location 1
11750 Bird Rd
Miami, FL 33175-3530
Phone (786) 315-5935
Other practice location 2
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 816-0600
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 443-7057
Other practice location 4
1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-1401
Other practice location 5
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U9993 | Other | FL | MEDICARE HF |
| U9996 | Other | FL | MEDICARE HFPS |
| 111265500 | Medicaid | FL |
Other names 1
- Lacey Avila
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, CO, DC, VA, NC, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 473-7120
19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000
2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 320-3393
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 209-3000
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
600 Elizabeth St
Christus Spohn Hospital Corpus Christi Shor
Corpus Christi, TX 78404-2235
Phone (361) 881-3000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
Hospital & facility affiliations
- The Hospitals of Providence - Memorial Campus
- Centura Health-St Anthony North Health Campus
- Centerpoint Medical Center
- Christus Mother Frances Hospital
- CJW Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068531 | CO | MD | Trauma Surgery Physician |
| 2024044388 | MO | MD | Trauma Surgery Physician |
| 2026-00086 | NC | MD | Trauma Surgery Physician |
| 0101286193 | VA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Urgent Specialty Associates of Texas, PLLC | Surgical Critical Care | Current | Accepting new patients |
| Valley View Hospital Association | Surgery | Current | Accepting new patients |
| East Carolina University | Surgery | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| Urgent Specialty Associates of Missouri LLC | Surgical Critical Care | Current | Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients | |
| Acute Care Surgical Affiliates of Texas PA | Surgery | Current | Accepting new patients |
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Pathology Assoc of the Roaring Fork | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Platte Valley Medical Group LLC | Current | Accepting new patients | |
| Valley View Hospital Association | Past | Accepting new patients | |
| Northwest Florida Multispecialty Physicians LLC | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
Locations
4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
1906 Blake Ave
Fl 1
Glenwood Springs, CO 81601
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- lmcmillan402296@christushealth.direct-ci.net
- lacey.mcmillan@hca5.eclinicaldirectplus.com
Organizations & group practices 20
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.
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Surgical Critical Care Physician
- Kingwood, TX
- NPI 1790350445
-
- Surgical Critical Care Physician
- Kansas City, MO
- NPI 1992436422
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Family Medicine Physician
- Brighton, CO
- NPI 1922812593
-
- Surgery Physician
- Glenwood SPGS, CO
- NPI 1518353218
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1760832117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27617 TIERRA DEL SOL LN",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341353553",
"telephone_number": "305-619-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012041",
"telephone_number": "903-606-5560"
}
],
"practiceLocations": [
{
"address_1": "11750 Bird Rd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331753530",
"country_code": "US",
"telephone_number": "786-315-5935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342818",
"country_code": "US",
"telephone_number": "252-816-0600",
"fax_number": "252-816-0721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-443-7057",
"fax_number": "508-856-4224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St Ste 101",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1401",
"fax_number": "321-434-1667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1401",
"fax_number": "321-434-1667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "LACEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MA",
"license": "1017531",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CO",
"license": "DR.0068531",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NC",
"license": "2026-00086",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "VA",
"license": "0101286193",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MO",
"license": "2024044388",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "T3133",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN23830",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME148659",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "U9993",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HFPS",
"identifier": "U9996",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111265500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LACEY",
"last_name": "AVILA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.