MICHAEL MILLICAN – Physician Assistant, NPI 1104586098

MICHAEL MILLICAN is a healthcare provider. based in Newnan, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA200002358 (DC). The NPI Number for MICHAEL MILLICAN is 1104586098

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MILLICAN
NPI
1104586098
Phone
(770) 502-2121
Address
1825 Highway 34 E
Enumeration Date
20 December 2021
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6785350220
Graduation Year
2021 (5 years ago)
PAC ID
1759774649
Group Practice PAC ID
7517126279
Professional Enrollment ID
I20220217002066
Address ID
GA302762024SE7990XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MICHAEL MILLICAN

  • 1825 Highway 34 E

    Newnan, GA 302656423

    Phone: (770) 502-2121

    Type: Location

  • 1825 HIGHWAY 34 E

    NEWNAN, GA 302656423

    Phone: (770) 502-2121

    Type: Location

  • 145 LAKE PARK CT

    SHARPSBURG, GA 302772164

    Phone: (770) 362-2569

    Type: Mailing

  • 1350 CONNECTICUT AVE NW STE 1250

    WASHINGTON, DC 200361728

    Phone: (888) 663-6331

    Fax: (415) 272-7176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220217002066IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg17723$0
99214Established patient office or other outpatient visit, 30-39 minutes114109$0
99213Established patient office or other outpatient visit, 20-29 minutes5958$0
87804Detection test by immunoassay with direct visual observation for influenza virus5629$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517126279View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantCT
Nurse PractitionerGA
Nurse PractitionerMO
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is MICHAEL MILLICAN identified in CMS data?
CMS-hosted NPPES data lists MICHAEL MILLICAN with NPI 1104586098.
Is MICHAEL MILLICAN still practicing?
MICHAEL MILLICAN is currently listed as active in the public NPI registry.
What is MICHAEL MILLICAN best known for clinically?
Directory data describes MICHAEL MILLICAN with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MICHAEL MILLICAN serve?
MICHAEL MILLICAN's listing highlights Newnan, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.