DR. BEVERLY DENISE MCMILLIN MD NPI 1134191034

NPI Information

NPI: 1134191034
Provider Name: DR. BEVERLY DENISE MCMILLIN, MD
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

Address:
10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 398-5437
Get Directions

DR. Beverly Denise Mcmillin, MD is a pediatric otolaryngology otolaryngology in Jacksonville, FL. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. DR. Beverly Denise Mcmillin, MD NPI is 1134191034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL
ZIP 32256-003
Phone: (904) 398-5437
Fax: (904) 398-3077

The enumeration date for this NPI number is 2/3/2006 and was last updated on 2/8/2010.

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	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	ME36762	FLORIDA	No
2	207YP0228X	Otolaryngology	Pediatric Otolaryngology	ME36762	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12056336	OTHER	FLORIDA	MULTI PLAN
2	4234338	OTHER	FLORIDA	AETNA
3	728	OTHER	FLORIDA	MAYO
4	53712	OTHER	FLORIDA	BC/BS OF FL
5	P2759499	OTHER	FLORIDA	OXFORD
6	208957	OTHER	FLORIDA	AVMED
7	D86024	MEDICARE UPIN
8	068708100	MEDICAID	FLORIDA
9	0205114006	OTHER	FLORIDA	CIGNA

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: 4/28/2024

NPI Synchronization or Removal

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