Active NPI
Rhonda Gregory McMillian, MD
- Psychiatry Physician
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2016-00526
- Practice address
- 998 Library CT
Oregon City, OR 97045-4041 - Phone
- (503) 655-8401
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2016-00526 | NC | Primary |
Addresses
Primary practice location
998 Library CT
Oregon City, OR 97045-4041
Mailing address
602 S Oleander Ave
Goldsboro, NC 27530-6130
Phone (301) 745-3777
Other practice location 1
503 Covil Ave
Suite 102
Wilmington, NC 28403-2684
Phone (910) 332-5734
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679M | Medicaid | MD | |
| 000748305D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Current | Accepting new patients | |
| Clackamas County | Current | Accepting new patients | |
| Kenneth E. Goolsby, MD & Associates, PC | Psychiatry | Past | Accepting new patients |
Locations
2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300
998 Courthouse Rd
Oregon City, OR 97045
Phone (503) 655-8470
39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBEHCD
Organizations & group practices 3
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.
-
dba DSB Behavioral Health
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1841443587
-
dba Hilltop Behavioral Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
-
- Psychiatry Physician
- Gainesville, GA
- NPI 1215942875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1902956196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S OLEANDER AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275306130",
"telephone_number": "301-745-3777",
"fax_number": "301-393-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 LIBRARY CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454041",
"telephone_number": "503-655-8401"
}
],
"practiceLocations": [
{
"address_1": "503 Covil Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032684",
"country_code": "US",
"telephone_number": "910-332-5734",
"fax_number": "910-332-5739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "RHONDA",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2016-00526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "679M",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000748305D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.