Megan Mills, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5248 Issued in TN

Practice address

4741 N Broadway St Ste B
Knoxville, TN 37918-1793

Phone

(865) 687-1940

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Megan Gray Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• DRS Black&Benton Pediatrics

  • Primary Care Clinic/Center
  • Knoxville, TN
  • NPI 1376943878
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1003443169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HAMILTON FARM LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322175",
            "telephone_number": "423-202-1444",
            "fax_number": "937-915-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 N BROADWAY ST STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181793",
            "telephone_number": "865-687-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MEGAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Wayne Mills, PSY.D.
• Janice M Mills
• Jeremy M. Mills, PMHNP-BC, MSN
• Keilah Monet Mills
• Kodi Mills
• Rhiannon Mills
• Samantha Lynne Mills, OTD, OTR/L
• Thomas A Mills
• Zipporah Mills, MSW
• Jason Millsap, LMFT

• Pediatrics Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.