Charles D. McMillon, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

40482 Issued in GA

Practice address

993-C Johnson Ferry Road
Suite 300
Atlanta, GA 30342

Phone

(678) 574-0943

Fax

(678) 574-0943

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Anesthesiology

Education

University of Oklahoma College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4

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.

• North Atlanta Anesthesia Professionals, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1982349296

  Anesthesiology, GA

  Medicare reassignment Care Compare group NPD
• Ambulatory Anesthesia of Atlanta, P C

  • Anesthesiology Physician
  • Marietta, GA
  • NPI 1164418489

  Anesthesiology

  NPD (past)
• Atlanta Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1336104926
  NPD (past)
• Au Medical Associates Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933

  Anesthesiology

  NPD (past)
• Northwest Allied Anesthesia Inc

  • Specialist
  • Kennesaw, GA
  • NPI 1366585846
  NPD (past)
• Northwest Allied Anesthesia Inc.

  • Anesthesiology Physician
  • Sandy Springs, GA
  • NPI 1639466980

  Anesthesiology

  NPD (past)
• Anesthesia & Pain Medicine PA

  • Pain Medicine (Anesthesiology) Physician
  • West Palm Beach, FL
  • NPI 1669438693
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1821086596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MANSELL COURT",
            "address_2": "ATTN: CREDENTIALING DEPT, SUITE 105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764848",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993-C JOHNSON FERRY ROAD",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "678-574-0943",
            "fax_number": "678-574-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLON",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "40482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTHCARE",
            "identifier": "9975585",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1821086596",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20-02624",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne McMillan, LMFT
• James Ian McMillen, MD
• Patricia L McMillen, RPH
• Patricia McMillin, CCC-SLP
• Kori L McMillion
• Brent McMinn
• Jessica Denise McMorris, MSW, LCSW
• Meredith Lynn McMorrow, MD, MPH
• Frances D McMullan, M.D.
• Dianne McMullen, N.P.

• All providers in Atlanta, GA
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.