D W MCMILLAN MEDICAL CENTER
NPI 1679196927
Clinic/Center - Multi-Specialty in Brewton, AL

Active since May 21, 2020CLIA 01D0305072 · Accreditation
1121 BELLEVILLE AVE, BREWTON, AL 36426(251) 867-6071(251) 867-5999 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2024, Sep 21, 2022, Apr 30, 2021 and 3 more (6 updates tracked since 2020).

About D W Mcmillan Medical Center NPPES

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

D W MCMILLAN MEDICAL CENTER (NPI 1679196927) is a healthcare organization registered as a multi-specialty in Brewton, Alabama and active in the NPI registry since May 2020. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Stacy Hines, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679196927
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameD.W. MCMILLAN MEMORIAL HOSPITAL
Location Address1121 BELLEVILLE AVEBrewton, AL 36426-1500
Mailing Address1121 Belleville AveBrewton, AL 36426-1500 · (251) 867-6071 · Fax (251) 867-5999
Fax(251) 867-5999
Organization SubpartYesParent: D. W. Mcmillan Memorial Hospital
Authorized OfficialStacy HinesAdministrator · (251) 809-8429
Enumeration DateMay 21, 2020
Last NPPES UpdateMay 3, 20246 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1679196927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1121 BELLEVILLE AVE, Brewton, AL 36426

Other Names 1

Doing Business AsD W Mcmillan Medical Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D W Mcmillan Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20210115001433Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to D W Mcmillan Medical Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Certified Registered Nurse Anesthetist (CRNA)11
Nurse Practitioner6
Family Practice5
Obstetrics/Gynecology2
Emergency Medicine1

Nearest to this location (20)

See all 25
Family Practice
NPI 1700858578
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3290
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255865010
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3140
✔ PECOSSame address
Family Practice
NPI 1992778005
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3150
✔ PECOSSame address
Nurse Practitioner
NPI 1649897703
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3160
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1376516526
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3110
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1962475749
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3170
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902399702
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 867-6071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851943112
1121 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-3160
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548295322
1301 BELLEVILLE AVE
Brewton, AL 36426
(251) 867-8061
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598803934
1301 BELLEVILLE AVE
Brewton, AL 36426
(251) 809-8383
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1023596871
174 HIGHWAY 113
Flomaton, AL 36441
(251) 296-2456
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1861490476
174 HIGHWAY 113
Flomaton, AL 36441
(251) 296-2456
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215208517
2016 S ALABAMA AVE
Monroeville, AL 36460
(800) 204-0099
✔ Accepts Medicare30 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861825192
4901 GRANDE DR
Pensacola, FL 32504
(850) 477-7042
✔ Accepts Medicare46 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578869475
4901 GRANDE DR
Pensacola, FL 32504
(850) 477-7042
✔ Accepts Medicare46 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346309358
702 N MAIN ST
Opp, AL 36467
(334) 493-3541
50 mi
Nurse Practitioner
NPI 1760948665
125 BAPTIST WAY STE 3A
Pensacola, FL 32503
(448) 227-6604
✔ PECOS✔ Accepts Medicare53 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982605556
7687 BAYSHORE DR
Elberta, AL 36530
(251) 269-7285
✔ Accepts Medicare62 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417909474
750 MORPHY AVE
Fairhope, AL 36532
(251) 990-1109
✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1417317462
400 N EDWARDS ST
Enterprise, AL 36330
(334) 347-0584
✔ PECOS✔ Accepts Medicare73 mi
See all 25 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 Accreditation 01D0305072

D W Mcmillan Medical Center · Brewton, AL
Active · expires Dec 22, 2027
CLIA Number01D0305072
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Christopher Dadisman
Laboratory Phone(251) 867-6071
Laboratory LocationD W Mcmillan Medical Center1121 Belleville Avenue, Brewton, AL 36426
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 D.W. Mcmillan Memorial Hospital's NPI number?

The NPI number for D.W. Mcmillan Memorial Hospital is 1679196927. It was assigned to this organization in the NPPES registry on May 21, 2020. The provider is doing business as D W Mcmillan Medical Center.

Where is D.W. Mcmillan Memorial Hospital located?

D.W. Mcmillan Memorial Hospital is located at 1121 Belleville Ave, Brewton, AL 36426. The listed phone number is (251) 867-6071.

What is D.W. Mcmillan Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is D.W. Mcmillan Memorial Hospital enrolled in Medicare?

Yes. D.W. Mcmillan Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is D.W. Mcmillan Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Alabama, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through D.W. Mcmillan Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to D.W. Mcmillan Memorial Hospital. 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 Certified Registered Nurse Anesthetist (CRNA) (11), Nurse Practitioner (6) and Family Practice (5). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does D.W. Mcmillan Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0305072) is associated with this NPI, valid through December 22, 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 D.W. Mcmillan Memorial Hospital was last updated on May 3, 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.