Individual provider Active NPI

Julie A McMillan, N.P.

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1790781458
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN0000079245 Issued in TN
Practice address
2001 Laurel Ave
Ste 206
Knoxville, TN 37916-1865
Phone
(865) 524-3131
Fax
(865) 212-6323
NPI assigned
Jun 27, 2005
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN0000079245 TN Primary

Addresses

Primary practice location

2001 Laurel Ave
Ste 206
Knoxville, TN 37916-1865

Mailing address

2001 Laurel Ave
Ste 206
Knoxville, TN 37916-1865
Phone (865) 524-3131

Other identifiers 5

IdentifierTypeStateIssuer
4059836OtherTNBCBS
500030629OtherTNRAILROAD MEDICARE
7269461OtherTNAETNA US HEALTHCARE
702021494OtherTNCARITEN HEALTHCARE
3909665MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000565 TN Practitioner - Nurse Practitioner 4587827621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Surgical Group, P.C.Group PAC ID 2365497765, 5 clinicians

Practice addresses (Care Compare)

2001 Laurel Ave
Suite 204
Knoxville, TN 37916-1864
Phone (865) 673-0288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000079245TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Surgical Group, P.C. CurrentSince Jun 1, 2022 Accepting new patients
St. Mary's Medical Center of Campbell County, Inc. Past Accepting new patients
Summit Medical Group, PLLC PastSince Apr 7, 2003 Accepting new patients

Locations

2001 Laurel Ave
Ste 204
Knoxville, TN 37916
Phone (865) 673-0288

Organizations & group practices 3

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 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1790781458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "STE 206",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161865",
            "telephone_number": "865-524-3131",
            "fax_number": "865-212-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "STE 206",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161865",
            "telephone_number": "865-524-3131",
            "fax_number": "865-212-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "RN0000079245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4059836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500030629",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7269461",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTHCARE",
            "identifier": "702021494",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3909665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.