BEVERLY A. MCMILLAN M.D. – NPI #1790886133
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

BEVERLY MCMILLAN is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1790886133 to BEVERLY MCMILLAN on September 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 18 years ago on May 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLY MCMILLAN below.

NPI Profile for
BEVERLY A. MCMILLAN

NPI Number
1790886133
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BEVERLY A. MCMILLAN
Credentials
M.D.
Primary location
1020 RIVER OAKS DR
SUITE 320
JACKSON, MS 39232-9500
Phone: (601) 936-1400 Fax: (601) 936-0671
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for BEVERLY MCMILLAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSEMS07159
MEDICAIDMS0111272
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
MS 07159

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.