Individual provider Active NPI

Terrie Lee Millard, PT, DPT, PCS

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1811019326
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002640 Issued in GA
Practice address
634 Tommy Aaron Dr
Gainesville, GA 30506-1504
Phone
(770) 503-7337
Fax
(770) 503-7337
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002640 GA Primary

Addresses

Primary practice location

634 Tommy Aaron Dr
Gainesville, GA 30506-1504

Mailing address

253 Manley Rd
Dahlonega, GA 30533-2354
Phone (678) 575-1227

Other identifiers 1

IdentifierTypeStateIssuer
000578344DMedicaidGA

Other names 1

  • Dr. Terrie Lee Millard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT002640GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brannon Pediatric Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1811019326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MANLEY RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305332354",
            "telephone_number": "678-575-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 TOMMY AARON DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061504",
            "telephone_number": "770-503-7337",
            "fax_number": "770-503-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "TERRIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578344D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRIE",
            "last_name": "MILLARD",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PT, DPT, PCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.