MILLENNIUM PHYSICIAN GROUP OF GEORGIA LLC
NPI 1538993084
Internal Medicine in Columbus, GA

Active since August 28, 2024CLIA 11D0266730 · Certificate of Compliance
610 19TH ST, COLUMBUS, GA 31901(706) 322-7884(833) 944-2043 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Millennium Physician Group Of Georgia Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP OF GEORGIA LLC (NPI 1538993084) is a healthcare organization registered as an internal medicine in Columbus, Georgia and active in the NPI registry since August 2024. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2027 and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1538993084
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP OF GEORGIA LLC
Location Address610 19TH STColumbus, GA 31901-1528
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Fax(833) 944-2043
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1538993084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
610 19TH ST, Columbus, GA 31901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Millennium Physician Group Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Millennium Physician Group Of Georgia LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Family Practice7
Diagnostic Radiology6
Internal Medicine5
Cardiovascular Disease (Cardiology)1

Nearest to this location (20)

See all 29
Family Practice
NPI 1184787327
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891782066
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982691952
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538117528
610 19TH ST
Columbus, GA 31901
(706) 320-3126
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477097319
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558998708
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1134702699
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588003859
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891134672
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457715401
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750379863
610 19TH STREET
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629517669
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1114586096
7141 MOON RD
Columbus, GA 31909
(706) 258-9998
✔ PECOS✔ Accepts Medicare6.1 mi
Internal Medicine
NPI 1467492785
623 S HOUSTON LAKE RD STE 200
Warner Robins, GA 31088
(478) 923-6633
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1427755131
623 S HOUSTON LAKE RD STE 200
Warner Robins, GA 31088
(478) 923-6633
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1518376482
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare83 mi
Internal Medicine
NPI 1114955572
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1447821244
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare83 mi
Cardiovascular Disease (Cardiology)
NPI 1245469519
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1316272719
446 POPLAR ST STE B
Macon, GA 31201
(478) 746-0097
✔ PECOS✔ Accepts Medicare83 mi
See all 29 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0266730

Millennium Physician Group Of Georgia, LLC · Columbus, GA
Active · expires Mar 31, 2027
CLIA Number11D0266730
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorStarr L. Whittaker
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group Of Georgia, LLC610 19th Street, Columbus, GA 31901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Millennium Physician Group Of Georgia LLC's NPI number?

The NPI number for Millennium Physician Group Of Georgia LLC is 1538993084. It was assigned to this organization in the NPPES registry on August 28, 2024.

Where is Millennium Physician Group Of Georgia LLC located?

Millennium Physician Group Of Georgia LLC is located at 610 19th St, Columbus, GA 31901. The listed phone number is (706) 322-7884.

What is Millennium Physician Group Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Millennium Physician Group Of Georgia LLC enrolled in Medicare?

Yes. Millennium Physician Group Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millennium Physician Group Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 5 Medicare specialties reassign their Medicare billing to Millennium Physician Group Of Georgia 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. The largest specialties are Nurse Practitioner (10), Family Practice (7) and Diagnostic Radiology (6). Of these, 11 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Millennium Physician Group Of Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0266730) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Millennium Physician Group Of Georgia LLC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.