Individual provider Active NPI

Dennis McMillian, PA-C

  • Physician Assistant
  • Montgomery, AL
National Provider Identifier
1912623349
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2169 Issued in AL
Practice address
454 Taylor Rd
Montgomery, AL 36117-3563
Phone
(334) 613-9000
Fax
(334) 532-0056
NPI assigned
Oct 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.2169 AL Primary

Addresses

Primary practice location

454 Taylor Rd
Montgomery, AL 36117-3563

Mailing address

454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230501003100 AL Practitioner - Physician Assistant 2567827397 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

101 Paul Stabler Dr
Greenville, AL 36037-3133
Phone (334) 382-0734

1470 Taylor Rd
Suite 109
Montgomery, AL 36117-3747
Phone (334) 613-9000

1965 Cobbs Ford Rd
Prattville, AL 36066-7290
Phone (334) 361-7054

2570 Berryhill Rd
Montgomery, AL 36117-3564
Phone (334) 323-1330

2815 Eastern Blvd
Montgomery, AL 36116-1021
Phone (334) 323-2050

34 Taylor Rd N
Montgomery, AL 36117-6753
Phone (334) 323-1510

4305 Atlanta Hwy
Montgomery, AL 36109-3101
Phone (334) 323-2260

454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000

668 McQueen Smith Rd N
Prattville, AL 36066-7511
Phone (334) 613-9000

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Surgeons, LLC CurrentSince Oct 8, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 5, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 5, 2024 Accepting new patients
Southern Orthopaedic Surgeons, LLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

454 Taylor Rd
Montgomery, AL 36117

668 McQueen Smith Rd N
Prattville, AL 36066

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1912623349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173563",
            "telephone_number": "334-613-9000",
            "fax_number": "334-532-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173563",
            "telephone_number": "334-613-9000",
            "fax_number": "334-532-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "DENNIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.