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DW MCMILLAN SURGICAL GROUP LLC
NPI 1093304644
Surgery in Brewton, AL

Active since January 18, 2021
1123 BELLEVILLE AVE, BREWTON, AL 36426(251) 867-8001(251) 867-9643 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 16, 2021, Jan 18, 2021 (2 updates tracked since 2021).

About Dw Mcmillan Surgical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DW MCMILLAN SURGICAL GROUP LLC (NPI 1093304644) is a healthcare organization registered as a surgery in Brewton, Alabama and active in the NPI registry since January 2021. The organization lists Rick Owens, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093304644
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDW MCMILLAN SURGICAL GROUP LLC
Location Address1123 BELLEVILLE AVEBrewton, AL 36426-1505
Mailing Address1123 Belleville AveBrewton, AL 36426-1505
Phone(251) 867-8001
Fax(251) 867-9643
Organization SubpartNo
Authorized OfficialRick OwensAdministrator · (251) 809-8410
Enumeration DateJanuary 18, 2021
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
✔ NPI 1093304644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1123 BELLEVILLE AVE, Brewton, AL 36426
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dw Mcmillan Surgical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dw Mcmillan Surgical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Boshell, M.D.
General Surgery
NPI 1356308076
1123 BELLEVILLE AVENUE
Brewton, AL 36426
(251) 867-8001
✔ PECOS✔ Accepts MedicareSame address
Michael Stafford, D.O.
General Surgery
NPI 1356757991
1123 BELLEVILLE AVE
Brewton, AL 36426
(251) 867-8001
✔ PECOS✔ Accepts MedicareSame address
Paul Stevens, DO
General Surgery
NPI 1902289002
1123 BELLEVILLE AVE
Brewton, AL 36426
(251) 867-8001
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dw Mcmillan Surgical Group LLC's NPI number?

The NPI number for Dw Mcmillan Surgical Group LLC is 1093304644. It was assigned to this organization in the NPPES registry on January 18, 2021.

Where is Dw Mcmillan Surgical Group LLC located?

Dw Mcmillan Surgical Group LLC is located at 1123 Belleville Ave, Brewton, AL 36426. The listed phone number is (251) 867-8001.

What is Dw Mcmillan Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dw Mcmillan Surgical Group LLC enrolled in Medicare?

Yes. Dw Mcmillan Surgical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dw Mcmillan Surgical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in General Surgery, reassign their Medicare billing to Dw Mcmillan Surgical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dw Mcmillan Surgical Group LLC was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.