SHADAE MCMILLAN FNP-C NPI 1285186452

NPI Information

NPI: 1285186452
Provider Name: SHADAE MCMILLAN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1412 MILSTEAD AVE NE
CONYERS, GA
ZIP 30012
Phone: (770) 918-3000
Get Directions

Shadae Mcmillan, FNP-C is a family nurse practitioner in Conyers, GA. Shadae Mcmillan, FNP-C NPI is 1285186452. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1412 MILSTEAD AVE NE
CONYERS, GA
ZIP 30012-877
Phone: (770) 918-3000

The NPI 1285186452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2016 and was last updated on 10/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	02020202	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN263034	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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