Individual provider Active NPI

Kerry L Milligan, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1780776765
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28533 Issued in TN
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-5741
Fax
(901) 516-5986
NPI assigned
Sep 28, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 28533 TN
Internal Medicine Physician 207R00000X 28533 TN Primary

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 3

IdentifierTypeStateIssuer
213757001MedicaidAR
00123536MedicaidMS
3805192MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001272 TN Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 8325937709 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Physical Medicine and Rehabilitation
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians
Tamarack MedicalGroup PAC ID 8527566520, 2 clinicians

Practice addresses (Care Compare)

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741

4100 Austin Peay Hwy
Memphis, TN 38128-2502
Phone (901) 213-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Inpatient Physicians LLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Tamarack Medical Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine Current Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Oct 14, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

4100 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 213-5400

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

2300 Patterson St
#M
Nashville, TN 37203

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: kmilligan28663@mlh.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1780776765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "KERRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "28533",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "28533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213757001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123536",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3805192",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.