Active NPI
James E Mills, MD
- Gynecology Physician
- Shalimar, FL
National Provider Identifier
1013984939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME31852
- Practice address
- 141 Poquito Rd
Shalimar, FL 32579-1125 - Phone
- (850) 613-6871
- NPI assigned
- Mar 1, 2006
- Last updated
- Dec 4, 2009
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME31852 | FL | Primary |
Addresses
Primary practice location
141 Poquito Rd
Shalimar, FL 32579-1125
Mailing address
141 Poquito Rd
Shalimar, FL 32579-1125
Phone (850) 613-6871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME31852 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White-Wilson Medical Center PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba White-Wilson Medical Center
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1013984939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 POQUITO RD",
"city": "SHALIMAR",
"state": "FL",
"postal_code": "325791125",
"telephone_number": "850-613-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 POQUITO RD",
"city": "SHALIMAR",
"state": "FL",
"postal_code": "325791125",
"telephone_number": "850-613-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JAMES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME31852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.