Millport Internal Medicine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MILLPORT INTERNAL MEDICINE

Practice address

13530 Highway 96
Millport, AL 35576-2522

Phone

(205) 662-5784

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Enoch Swanson

Title

Managing Partner

Phone

(205) 662-5784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801975958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 HIGHWAY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "355762522",
            "telephone_number": "205-662-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 HIGHWAY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "355762522",
            "telephone_number": "205-662-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLPORT INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ENOCH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-662-5784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah L Livingston, CRNP
• Lulu and Laura Foundation
• Millport Fam Practice Clinic, LLC
• Millport Family Practice Clinic, LLC
• Millport Holdings DME LLC
• Pollard Spine and Spa LLC
• Dalton Pollard, DC
• Robert Enoch Swanson, CRNP
• Julie Ann Williams, FNP

• Medical Specialty Clinic/Center in Millport, AL
• Providers in Millport, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.