Millennium Physician Group LLC
NPI 1417629106 · Family Medicine Physician · Jacksonville Beach, FL
Millennium Physician Group LLC is a Family Medicine Physician organization in Jacksonville Beach, FL (NPI 1417629106).
Provider details
- NPI number
- 1417629106
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Haltigan, Director of Revenue Cycle(877) 856-3774
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2023-01-18
- Certified
- 2023-01-18
Frequently asked questions
- What is Millennium Physician Group LLC's NPI number?
- Millennium Physician Group LLC's National Provider Identifier (NPI) is 1417629106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Millennium Physician Group LLC?
- Millennium Physician Group LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Millennium Physician Group LLC located?
- Millennium Physician Group LLC's practice location on file with NPPES is 1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250-3237.
- What is Millennium Physician Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Millennium Physician Group LLC is (904) 249-9995.
- Who is the authorized official for Millennium Physician Group LLC?
- The authorized official listed on Millennium Physician Group LLC's NPPES record is Mary Haltigan, Director of Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Millennium Physician Group LLC's NPI active?
- Yes — Millennium Physician Group LLC's NPI (1417629106) is active in the NPPES registry as of the last update on 2023-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.