Individual provider Active NPI

Jillian M Mills

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1154763209
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9344038 Issued in FL
Practice address
3235 Newnan Rd
Griffin, GA 30223-7114
Phone
(770) 441-4049
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9344038 FL Primary

Addresses

Primary practice location

3235 Newnan Rd
Griffin, GA 30223-7114

Mailing address

2260 S Ferdon Blvd # 262
Crestview, FL 32536-8457
Phone (850) 960-1340

Other practice location 1

143 Mill Pond Ct
Milner, GA 30257-3544
Phone (850) 960-1340

Other identifiers 2

IdentifierTypeStateIssuer
RN9344038OtherFLFLORIDA BOARD OF NURSING
ARNP9344038OtherFLARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160316001253 FL Practitioner - Nurse Practitioner 0244536340 Reassigns benefits to 1 organization
I20240628002570 GA Practitioner - Nurse Practitioner 0244536340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of Ga LLCGroup PAC ID 5698182616, 13 clinicians
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

3235 Newnan Rd
Griffin, GA 30223-7114
Phone (770) 441-4049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9344038FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince May 1, 2024 Accepting new patients
Syed Gilani MD PA CurrentSince Feb 29, 2016 Accepting new patients
Physiatry Consultants of Ga LLC CurrentSince Jan 1, 2026 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

237 E Baldwin Rd
Ste 101
Panama City, FL 32405
Phone (850) 215-5885

1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787

3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

128 S East St
Unit 1109
Crown Point, IN 46308

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1154763209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 S FERDON BLVD # 262",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368457",
            "telephone_number": "850-960-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "770-441-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Mill Pond Ct",
            "address_purpose": "LOCATION",
            "city": "Milner",
            "state": "GA",
            "postal_code": "302573544",
            "country_code": "US",
            "telephone_number": "850-960-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "RN9344038",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP9344038",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.