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NPISignal

Individual Healthcare Provider

Lacey Mcmillan, MD

NPI Record: ActiveSurgery — Trauma Surgery
NPI1760832117
Tyler, Texas

Provider's NPPES record last updated: March 18, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1760832117
Primary Specialty
Surgery — Trauma Surgery
Practice Location
Tyler, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:16 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Trauma Surgery

    Allopathic & Osteopathic Physicians

    Primary

    Trauma 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 critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

    Taxonomy code 2086S0127X
  • Surgery

    Allopathic & Osteopathic Physicians

    A 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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

Provider-Reported License Information

Surgery (Texas)
T3133
Surgery (Massachusetts)
1017531
Surgery (Colorado)
DR.0068531
Surgery (North Carolina)
2026-00086
Surgery (Virginia)
0101286193
Surgery (Missouri)
2024044388
Surgery (Florida)
TRN23830
Surgery (Florida)
ME148659
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

630 S Fleishel Ave

Tyler, Texas 75701-2041

Phone: (903) 606-5560

Additional Practice Location

11750 Bird Rd

Miami, Florida 33175-3530

Phone: (786) 315-5935

Additional Practice Location

2100 Stantonsburg Rd

Greenville, North Carolina 27834-2818

Phone: (252) 816-0600

Fax: (252) 816-0721

Additional Practice Location

55 Lake Ave N

Worcester, Massachusetts 01655-0002

Phone: (774) 443-7057

Fax: (508) 856-4224

Additional Practice Location

1350 Hickory St Ste 101

Melbourne, Florida 32901-3224

Phone: (321) 434-1401

Fax: (321) 434-1667

Additional Practice Location

1350 Hickory St

Melbourne, Florida 32901-3224

Phone: (321) 434-1401

Fax: (321) 434-1667

Record Information

Enumeration Date
June 16, 2016
Provider's NPPES Record Last Updated
March 18, 2026
Certification Date
March 18, 2026
NPISignal NPPES Dataset
August 2026

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