DAMON C. MCMILLAN (NPI# 1053384164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053384164 |
| Entity Type | Individual |
| Full Name | DAMON C. MCMILLAN |
| Credential | M.D. |
| Practice Address |
1720 S Gadsden St Tallahassee FL 32301-5506 |
| Practice Telephone | 8505764073 |
| Practice Fax Number | 8505762824 |
| Mailing Telephone | 8505764073 |
| Mailing Fax Number | 8505762824 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME76689 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTHEASE OF FLORIDA#1 | 162001 | 01 |
| FL | BC/BS OF FLORIDA | 5399 | 01 |
| FL | 255569700 | 05 | |
| FL | HEALTHEASE FLORIDA #2 | 209999 | 01 |
| FL | VISTA (MEDICAID) | SG075553 | 01 |
| Street Address |
1720 S GADSDEN ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396718409 | Bond Community Health Center, Inc. | Internal Medicine | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2006-02-09 |
| 1730796228 | Nathalie Belly Esellem | Nurse Practitioner | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2020-09-28 |
| 1275173163 | Christina Y Cummings | Counselor | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2020-01-08 |
| 1093101263 | Mudrika Chhabra | Dentist | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2015-04-14 |
| 1447672480 | Ebonie Allen | Nurse Practitioner | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2014-01-10 |
| 1740625433 | Anne Adhiambo Ananga | Nurse Practitioner | 1720 S Gadsden St, Tallahassee, FL 32301 | 2013-05-08 |
| 1063752780 | Margrette Fortune | Pharmacist | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2013-02-15 |
| 1063775278 | Ajegbu Okeke | Pharmacist | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2012-06-21 |
| 1598037939 | Dale Rossi French | Chiropractor | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2012-02-01 |
| 1912283078 | Anneka Clarise Johnson | Nurse Practitioner | 1720 S Gadsden St, Tallahassee, FL 32301-5506 | 2011-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1336500669 | Paul Arons | Family Medicine | 1706 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2016-03-15 |
| 1093176711 | Anjali Arun Joshi | Family Medicine | 4012 Brandon Hill Drive, Tallahassee, FL 32309-2654 | 2016-03-08 |
| 1760740237 | North Meridian Medical Services Corporation | Family Medicine | 12449 Chimney Lane, Tallahassee, FL 32312-0961 | 2012-05-02 |
| 1366753527 | Abeer Moustafa Elmohandes | Family Medicine | 2888 Mahan Dr Ste 6, Tallahassee, FL 32308 | 2010-06-23 |
| 1518114685 | Kerwyn Lakaye Flowers | Family Medicine | 2911 Robers Avenue, Suite 201, Tallahassee, FL 32310 | 2008-08-20 |
| 1629234968 | Amanda Lauramore Shearer | Family Medicine | 4004 Norton Ln Ste 101, Tallahassee, FL 32308-5966 | 2008-08-06 |
| 1780843003 | Virden Evans | Family Medicine | 1607 St. James Court, Tallahassee, FL 32308-0001 | 2008-06-02 |
| 1154509743 | Urgent Care of America | Family Medicine | 3077 Saint Andrews Way, Tallahassee, FL 32312-4266 | 2008-02-05 |
| 1912109166 | Paul Frederick Hartsfield | Family Medicine | 1843 Fiddler Ct, Tallahassee, FL 32308-4450 | 2007-06-01 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.