Mississippi Staff Healing PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10780 Issued in MS

Legal business name

MISSISSIPPI STAFF HEALING PLLC

Practice address

427 Highway 51 N
Brookhaven, MS 39601-2350

Phone

(601) 835-9444

Fax

(601) 833-5210

NPI assigned

Aug 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Mills, M.D.NPI 1326153867

Title

Sole Member

Phone

(601) 835-6749

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Mills, M.D.

  • Specialist
  • Brookhaven, MS
  • NPI 1326153867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1124306774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SIDNEY TRL SE",
            "city": "BOGUE CHITTO",
            "state": "MS",
            "postal_code": "396299705",
            "telephone_number": "601-835-6749",
            "fax_number": "601-833-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012350",
            "telephone_number": "601-835-9444",
            "fax_number": "601-833-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STAFF HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "601-835-6749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "10780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115587",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Eric Miller, M.D.
• Christi Evans Mills, P.T.
• Stephen J Mills, M.D.
• Mississippi Adolescent Center
• Mississippi Methodist Hospital & Rehabilitation Center, Inc.
• Mississippi State Department of Health
• Haley Mitchell, FNP-C
• Dara E Moak, ATC
• Charles Sherwood Mobley, D.C.
• Ramiro A Montalvo Jr., M.D.

• Specialist in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.

Verify at the official NPI Registry.