Individual provider Active NPI

Jake Henry Mills, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1124693031
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11175 Issued in NC
Practice address
1 Doctors Park
Asheville, NC 28801-4500
Phone
(828) 253-5314
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11175 NC Primary

Addresses

Primary practice location

1 Doctors Park
Asheville, NC 28801-4500

Mailing address

1 Doctors Park
Asheville, NC 28801-4500
Phone (828) 253-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001349 NC Practitioner - Physician Assistant 9234531690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Doctors Park
Asheville, NC 28801-4500
Phone (828) 253-5314

630 5TH Ave W
Hendersonville, NC 28739-4206
Phone (828) 259-2357

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Medical Group Cancer and Specialty Care LLC CurrentSince Jun 7, 2021 Accepting new patients
Genesiscare USA of North Carolina, PA CurrentSince Jun 7, 2021 Accepting new patients
Asheville Urological Assoc Inc. Current Accepting new patients
Sampson Radiation Oncology, PA Past Accepting new patients
Providence Imaging Center Inc PastSince Feb 23, 2016 Accepting new patients

Locations

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

1 Doctors Park
Asheville, NC 28801
Phone (828) 253-5314

1 Hospital Dr
Ste 102
Asheville, NC 28801
Phone (828) 225-1915

95 Doctors Dr
Hendersonville, NC 28792
Phone (828) 253-5314

2315 Asheville Hwy
Ste 40
Hendersonvlle, NC 28791
Phone (828) 253-5314

703 Doctors Dr
Kinston, NC 28501
Phone (252) 522-7600

63 S Medical Ct
Marion, NC 28752
Phone (828) 254-8232

Interoperability endpoints

  • Direct secure messaging: jmills915370@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1124693031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014500",
            "telephone_number": "828-253-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014500",
            "telephone_number": "828-253-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JAKE",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.