Active NPI
Council Clayton Mills III, M.D.
- Internal Medicine Physician
- Bryan, TX
National Provider Identifier
1235157744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E6523
- Practice address
- 2670 E 29TH St Ste a
Cogent Healthcare of Texas, PA
Bryan, TX 77802-2501 - Phone
- (979) 776-5967
- Fax
- (979) 774-4849
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E6523 | TX | Primary |
Addresses
Primary practice location
2670 E 29TH St Ste a
Cogent Healthcare of Texas, PA
Bryan, TX 77802-2501
Mailing address
5410 Maryland Way Suite 300
Cogent Healthcare
Brentwood, TN 37027
Phone (615) 377-5658
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E6523 | Other | TX | STATE |
| 8CB434 | Other | TX | BCBS |
| 114274704 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6523 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1235157744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY SUITE 300",
"address_2": "COGENT HEALTHCARE",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "37027",
"telephone_number": "615-377-5658",
"fax_number": "615-373-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 E 29TH ST STE A",
"address_2": "COGENT HEALTHCARE OF TEXAS, PA",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022501",
"telephone_number": "979-776-5967",
"fax_number": "979-774-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "COUNCIL",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E6523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "E6523",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CB434",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114274704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.