NPI age
9 years
Enumerated 2016-06-16
● Active
Type 1 · Individual
DR. Lacey McMillan, MD
McMillan is 1 of 9 surgery providers in Tyler and 1 of 159 in Texas.
Primary specialty
Surgery
Plus 7 subspecialties
Licensed in
TX, MA, CO, NC, VA, MO, FL
7 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 159 active surgery providers in Texas.
NPI age
9 years
↓ 7 yr below median (16 yr)
State licenses
7 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
630 S Fleishel Ave
Tyler, TX 757012041
Mailing address
27617 Tierra Del Sol Ln
Bonita Springs, FL 341353553
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
2100 Stantonsburg Rd
Greenville, NC 278342818
Location 3
11750 Bird Rd
Miami, FL 331753530
Location 4
1350 Hickory St Ste 101
Melbourne, FL 329013224
Location 5
55 Lake Ave N
Worcester, MA 016550002
Location 6
1350 Hickory St
Melbourne, FL 329013224
Specialties
-
Surgery PrimaryTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | U9993 | MEDICARE HF |
| 01 (FL) | U9996 | MEDICARE HFPS |
| 05 (FL) | 111265500 |
Multi-state credentialing: Licensed in 7 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.