DR. VAN MILLIN (DO) – Family Medicine Physician, NPI 1275682247
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. VAN MILLIN (DO)
6875 Douglas Blvd
Suite A
Douglasville, GA 30135
Phone: (609) 926-2560
Fax: (609) 926-4177
Type: Location
303, Smith Street, LaGrange, Troup County, Georgia, 30240, United States
LAGRANGE, GA 302402745
Phone: (706) 882-8831
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $660.
Total Amount is formed as General ($660) + Research ($0) + Ownership ($0) = $660.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($183).
Total Amount
$660
General + Research + Ownership
Payments
32
Total payment records
General Amount
$660
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $183 |
| Phathom Pharmaceuticals, Inc. | $96 |
| Astellas Pharma US Inc | $95 |
| Amgen Inc. | $55 |
| Dexcom, Inc. | $46 |
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: 2022-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111219000628 | I | Family Practice | GA | 2023-12-31 |
| I20220902001403 | I | Family Practice | AL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30135)
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Provider's Procedures
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Gastroenterology, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| General Surgery | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
Reviews
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