Millbrook Family Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MILLBROOK FAMILY HEALTHCARE

Practice address

2588 Main St
Millbrook, AL 36054-3849

Phone

(334) 285-5703

Fax

(334) 285-5705

NPI assigned

Feb 9, 2018

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ginger Webster McDougal, CRNPNPI 1699077834

Title

Owner

Phone

(334) 285-5703

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17953/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ginger W McDougal, CRNP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
  • NPI 1699077834
  Medicare reassignment Authorized official
• Steven L Allen, MD

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1508814922
  Medicare reassignment

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1881193340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 MAIN ST",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543849",
            "telephone_number": "334-285-5703",
            "fax_number": "334-285-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 MAIN ST",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543849",
            "telephone_number": "334-285-5703",
            "fax_number": "334-285-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-285-5703",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "1-096145",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niccia McClure, PT
• Rayna Iman Means, DMD
• Stallard Delmus Mikell Jr., RPH
• Millbrook Eye Care LLC (River Region Vision Source)
• Millbrook Family Chiropractic LLC
• Jayden Miller
• Yanika Denise Mitcheam
• Montgomery Drug Company (Adams Drugs Millbook)
• Jessica Anderson Morrissey
• Nina Morton

• Primary Care Clinic/Center in Millbrook, AL
• Providers in Millbrook, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.