Millennium Provider Group, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILLENNIUM PROVIDER GROUP, P.A.

Doing business as

Millennium Healthcare

Practice address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773

Phone

(855) 674-7400

Fax

(855) 674-7401

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By 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

Chasity Chase

Title

Market President

Phone

(855) 674-7400

Specialties & licenses 1

Addresses

Other names 1

• Millennium Healthcare Doing business as

Locations

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1972234417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "855-674-7400",
            "fax_number": "855-674-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "855-674-7400",
            "fax_number": "855-674-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PROVIDER GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "855-674-7400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Rbe of Florida, LLC
• Millennium Surgery Centers of Florida, LLC (Millennium Surgery Center at Riverwalk)
• Brandy L Miller-Chapman, OTR/L
• Keylashal S. Miller-Graham, PMHNP
• Anaar N Miller, PA-C

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.