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

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

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

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: August 16, 2026.

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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

Phone(706) 322-7884

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

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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

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANN MARIE BLAIR NP-C

Nurse Practitioner (Family)