Millennium Physician Group of Georgia LLC - Medicare Primary Care in Columbus, GA

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Millennium Physician Group of Georgia LLC is a medicare enrolled primary clinic (Internal Medicine) in Columbus, Georgia. The current practice location for Millennium Physician Group of Georgia LLC is 610 19th St, Columbus, Georgia. For appointments, you can reach them via phone at (706) 322-7884. The mailing address for Millennium Physician Group of Georgia LLC is 2675 Winkler Ave Fl 2, Fort Myers, Florida and phone number is (877) 856-3774.

Millennium Physician Group of Georgia LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1538993084. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (706) 322-7884.

Contact Information

Millennium Physician Group of Georgia LLC
610 19th St
Columbus
GA 31901-1528
(706) 322-7884
(833) 944-2043

Map and Direction


Primary Care Clinic Profile

Full NameMillennium Physician Group of Georgia LLC
SpecialityInternal Medicine
Location610 19th St, Columbus, Georgia
Authorized Official Name and PositionMary Haltigan (DIRECTOR OF REVENUE CYCLE)
Authorized Official Contact8778563774
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Millennium Physician Group of Georgia LLC
2675 Winkler Ave Fl 2
Fort Myers
FL 33901-9342

Ph: (877) 856-3774		Millennium Physician Group of Georgia LLC
610 19th St
Columbus
GA 31901-1528

Ph: (706) 322-7884

NPI Details:

NPI Number1538993084
Provider Enumeration Date08/28/2024
Last Update Date08/28/2024
Certification Date08/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9638699648
Medicare Enrollment IDO20250220003030

Medical Identifiers

Medical identifiers for Millennium Physician Group of Georgia LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538993084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Millennium Physician Group of Georgia LLC acts as a billing entity for following providers:
Provider NameCurtis E Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538117528
PECOS PAC ID: 1456322544
Enrollment ID: I20040803000667
Provider NameMaged Abdelmalik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770558470
PECOS PAC ID: 5496724858
Enrollment ID: I20041001000322
Provider NameJohn S Womble
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750379863
PECOS PAC ID: 2466418785
Enrollment ID: I20041208000125
Provider NameDavid M Celestial
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982691952
PECOS PAC ID: 8628025061
Enrollment ID: I20050407000168
Provider NamePatricia P Ingold
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1700893963
PECOS PAC ID: 7719919042
Enrollment ID: I20050907000617
Provider NameTimothy R Luschen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1245281989
PECOS PAC ID: 2163435355
Enrollment ID: I20060710000073
Provider NameAmy Sheffield
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1821021544
PECOS PAC ID: 3678658028
Enrollment ID: I20080310000083
Provider NameDonna E Burrell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891782066
PECOS PAC ID: 9032294491
Enrollment ID: I20080905000050
Provider NameJames H Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699762666
PECOS PAC ID: 6406931864
Enrollment ID: I20081029000210
Provider NameCharles S Edenfield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467492785
PECOS PAC ID: 9436285822
Enrollment ID: I20100324000784
Provider NameKamlesh G Ansingkar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184787327
PECOS PAC ID: 6608979554
Enrollment ID: I20100708000071
Provider NameAlan Dean Justice
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114955572
PECOS PAC ID: 0143121228
Enrollment ID: I20100826001032
Provider NameGirija Das
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487762084
PECOS PAC ID: 7416071204
Enrollment ID: I20110126000698
Provider NameTamara Chanette Richardson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1982741542
PECOS PAC ID: 5395846372
Enrollment ID: I20110308000988
Provider NameDavid a Theobald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588003859
PECOS PAC ID: 1850535691
Enrollment ID: I20130918000457
Provider NameKanika R White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891134672
PECOS PAC ID: 7012144934
Enrollment ID: I20131220000106
Provider NameRicky Justin Mccullough
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245469519
PECOS PAC ID: 0446438451
Enrollment ID: I20140103000728
Provider NameStephanie M Gaddis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518376482
PECOS PAC ID: 3779703822
Enrollment ID: I20141013001763
Provider NameAutumn J Irions
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477097319
PECOS PAC ID: 9931473022
Enrollment ID: I20170928002110
Provider NameTina Saiani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316272719
PECOS PAC ID: 9133465834
Enrollment ID: I20190117001638
Provider NameLori Denise Starr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598295719
PECOS PAC ID: 3870833213
Enrollment ID: I20190320002932
Provider NameKristin Neely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629517669
PECOS PAC ID: 6800137498
Enrollment ID: I20190409000600
Provider NameStarr Lucy Whittaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457715401
PECOS PAC ID: 2860721537
Enrollment ID: I20190905000238
Provider NameTimothy Wayne Franklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114586096
PECOS PAC ID: 1759714793
Enrollment ID: I20191205002724
Provider NameAllison Lumsden Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447821244
PECOS PAC ID: 6901204627
Enrollment ID: I20211012000051
Provider NameJoseph Tyler Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558998708
PECOS PAC ID: 9931527355
Enrollment ID: I20230817002586
Provider NameMakayla R Riles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134702699
PECOS PAC ID: 2961946512
Enrollment ID: I20240708000393
Provider NameThomas J Zekan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497754105
PECOS PAC ID: 8729987128
Enrollment ID: I20250519000716
Provider NameTodd C Schirmang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134347305
PECOS PAC ID: 8123142882
Enrollment ID: I20250528002646
Provider NameLori Tylynn Rooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427755131
PECOS PAC ID: 7517477821
Enrollment ID: I20250606000950
Provider NameMichael J Nicholas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942486873
PECOS PAC ID: 3678629995
Enrollment ID: I20250915004270
Provider NameBernadette Curtis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407858970
PECOS PAC ID: 2860420346
Enrollment ID: I20250923003022
Provider NameRachel Estadt
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1134946486
PECOS PAC ID: 1759815459
Enrollment ID: I20250929001043
Provider NameDarin Hildoer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750413506
PECOS PAC ID: 9234308438
Enrollment ID: I20260116001422
Provider NameAdam Means
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922051374
PECOS PAC ID: 8022019801
Enrollment ID: I20260518003910

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.