Active NPI
Travis Mills
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 19289
- Practice address
- 2432 Hunters TRL
Myrtle Beach, SC 29588-8444 - Phone
- (423) 736-0357
- NPI assigned
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 19289 | SC | Primary |
Addresses
Primary practice location
2432 Hunters TRL
Myrtle Beach, SC 29588-8444
Mailing address
2432 Hunters TRL
Myrtle Beach, SC 29588-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19289 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Knoxville Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700
11440 Parkside Dr
Ste 100
Knoxville, TN 37934
Phone (865) 622-3442
1311 Dowell Springs Blvd
Ste 100
Knoxville, TN 37909
629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TN
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1356717227
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1003209412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 HUNTERS TRL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295888444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 HUNTERS TRL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295888444",
"telephone_number": "423-736-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "19289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.