Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Millican

Individual provider Physician Assistant · NPI 1104586098

Michael Millican is a Physician Assistant in Washington, District of Columbia. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Georgia.

Years since qualifying
5
Licensed in
DC, GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone: (888) 663-6331
Fax: (415) 272-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Highway 34 E, Newnan, GA 30265-6423 — (770) 502-2121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200002358 (DC)
Physician Assistant Taxonomy 363A00000X · Licence 10856 (GA)

Record details

NPI number1104586098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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