Individual provider Active NPI

Lacey McMillan, MD

  • Trauma Surgery Physician
  • Tyler, TX
National Provider Identifier
1760832117
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
T3133 Issued in TX
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

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U9993OtherFLMEDICARE HF
U9996OtherFLMEDICARE HFPS
111265500MedicaidFL

Other names 1

  • Lacey Avila Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CO, DC, VA, NC, MO7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20210707003408 FL Practitioner - General Surgery 9436442340 Reassigns benefits to 2 organizations
I20211111001754 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9436442340 Reassigns benefits to 3 organizations
I20221119000359 CO Practitioner - General Surgery 9436442340 Reassigns benefits to 3 organizations
I20250825000805 DC Practitioner - General Surgery 9436442340 Reassigns benefits to 1 organization
I20250918003619 VA Practitioner - General Surgery 9436442340 Reassigns benefits to 1 organization
I20260211001536 NC Practitioner - General Surgery 9436442340 Reassigns benefits to 1 organization
I20260219003544 MO Practitioner - General Surgery 9436442340 Reassigns benefits to 1 organization

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
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians
Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

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 Hospital, El Paso, TX, CCN 450002
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068531COMDTrauma Surgery Physician
2024044388MOMDTrauma Surgery Physician
2026-00086NCMDTrauma Surgery Physician
0101286193VAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Urgent Specialty Associates of Texas, PLLC Surgical Critical Care CurrentSince Nov 18, 2023 Accepting new patients
Valley View Hospital Association Surgery CurrentSince Aug 9, 2022 Accepting new patients
East Carolina University Surgery CurrentSince Feb 3, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 7, 2024 Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Urgent Specialty Associates of Missouri LLC Surgical Critical Care CurrentSince Feb 1, 2026 Accepting new patients
Valley View Hospital Association CurrentSince Aug 9, 2022 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Nov 1, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 31, 2024 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 7, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Nov 15, 2022 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Jan 31, 2024 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Northwest Florida Multispecialty Physicians LLC PastSince Sep 8, 2021 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 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

  • Direct secure messaging: lmcmillan402296@christushealth.direct-ci.net
  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.