NPIMap

Edward Beman McMillan, MD

Individual provider Active NPI Cardiovascular Disease Physician · Charlotte, NC

NPI 1831199876 · NPPES record last updated Jul 21, 2023

Key facts

NPI
1831199876
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
96-00639 (NC)
Practice address
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone
(704) 343-9800
Fax
(704) 347-2011
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Cardiovascular Disease (Cardiology)
Education
Duke University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian Hospital (412 clinicians)
Novant Health Medical Group, LLC (2,413 clinicians)
Novant Health Mint Hill Medical Center, LLC (31 clinicians)

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

8201 Health Loop
Charlotte, NC 28215-7072
Phone (980) 302-1000

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital · Charlotte, NC · CCN 340053
  • Novant Health Matthews Medical Center Hospital · Matthews, NC · CCN 340171
  • Novant Health Huntersville Medical Center Hospital · Huntersville, NC · CCN 340183
  • Carolinas Medical Center/Behav Health Hospital · Charlotte, NC · CCN 340113
  • Novant Health Mint Hill Medical Center Hospital · Charlotte, NC · CCN 340190

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041111000375 NC Practitioner - Cardiovascular Disease (Cardiology) 3072576875 Reassigns benefits to 8 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96-00639NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Cardiovascular Disease Current
since Sep 19, 2020		 Accepting new patients
The Presbyterian Hospital Current
since Jul 14, 2010		 Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease Current
since Aug 1, 2007		 Accepting new patients
Legacy Heart Care of Charlotte, LLC Cardiovascular Disease Current
since Jul 1, 2016		 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Cardiovascular Disease Current
since Jul 14, 2010		 Accepting new patients
Novant Health Ballantyne Medical Center LLC Current
since Sep 9, 2023		 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Current
since Oct 1, 2018		 Accepting new patients
Novant Health Rowan Medical Center, LLC Current
since Aug 5, 2012		 Accepting new patients
Novant Health Medical Group, LLC Current
since Aug 1, 2007		 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Matthews Medical Center LLC Current
since Nov 27, 2011		 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Rowan Medical Center LLC Current
since Aug 5, 2012		 Accepting new patients

Locations (25 of 28)

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

6701 Carmel Rd
Unit 355
Charlotte, NC 28226
Phone (704) 334-1401

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

300 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 334-1401

1718 E 4th St
Ste 105
Charlotte, NC 28204
Phone (704) 384-5373

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

125 Queens Rd
Ste 200
Charlotte, NC 28204

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

8300 Health Park
Ste 107
Raleigh, NC 27615
Phone (919) 846-7312

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 96-00639 NC Yes

Addresses

Primary practice location

125 Queens Rd Ste 200
Charlotte, NC 28204-3578

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other practice location 1

1718 E 4th St
Ste 501
Charlotte, NC 28204-3261
Phone (704) 343-9800

Other identifiers

IdentifierTypeStateIssuer
8955794MedicaidNC
N00630MedicaidSC

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address EMCMILLAN34990@DIRECT.NOVANTHEALTH.ORG

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2023.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1831199876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-343-9800",
            "fax_number": "704-887-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043578",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St",
            "address_2": "Ste 501",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043261",
            "country_code": "US",
            "telephone_number": "704-343-9800",
            "fax_number": "704-887-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "EDWARD",
        "middle_name": "BEMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "96-00639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955794",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00630",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EMCMILLAN34990@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Ste 501",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

All providers in Charlotte, NC · Cardiovascular Disease Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.