Individual provider Active NPI

Lauren S Mills, FNP-C

  • Family Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1205420650
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN246404 Issued in GA
Practice address
231 W Hancock St
Milledgeville, GA 31061-3371
Phone
(678) 675-9593
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN246404 GA
Family Nurse Practitioner 363LF0000X RN246404 GA Primary

Addresses

Primary practice location

231 W Hancock St
Milledgeville, GA 31061-3371

Mailing address

219 Davis Rd
Gray, GA 31032-3417
Phone (678) 675-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210920001352 GA Practitioner - Nurse Practitioner 7810394780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN246404GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Gastroenterology, LLC CurrentSince Aug 23, 2021 Accepting new patients
Middle Georgia Gastroenterology PastSince Aug 23, 2021 Accepting new patients
Primary Pediatrics, PC Past Accepting new patients
Middle Georgia Medical Associates, P.C. Past Accepting new patients

Locations

791 Poplar St
Macon, GA 31201
Phone (478) 755-0800

1011 Fernwood Dr
Milledgeville, GA 31061
Phone (478) 457-3900

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1205420650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DAVIS RD",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310323417",
            "telephone_number": "678-675-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W HANCOCK ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613371",
            "telephone_number": "678-675-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LAUREN",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN246404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.