Active NPI
Theodore J Millette II, MD
- Pediatric Cardiology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 51881
- Practice address
- 1601 Center St
Mobile, AL 36604-1541 - Phone
- (251) 410-5437
- Fax
- (251) 434-3783
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T-3719 | MS | |
| Pediatrics Physician | 208000000X | 0101272247 | VA | |
| Pediatric Cardiology Physician | 2080P0202X | 0101272247 | VA | |
| Pediatric Cardiology Physician | 2080P0202X | 51881 | AL | Primary |
Addresses
Primary practice location
1601 Center St
Mobile, AL 36604-1541
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-2824
Phone (434) 924-2335
Other practice location 2
1204 W Main St
Charlottesville, VA 22903-2824
Phone (434) 924-5321
Other practice location 3
2500 N State St
Jackson, MS 39216
Phone (601) 984-6562
Other practice location 4
4348 Electric Rd
Roanoke, VA 24018-0720
Phone (540) 769-0976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Mississippi School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
650 Clinic Dr
Mobile, AL 36688
PO Box
Suite 746450
Atlanta, GA 30374-6450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3719 | MS | MD | Pediatrics Physician |
| 0101272247 | VA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Pediatrics | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients |
Locations
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600
Interoperability endpoints
- tmillette486757@direct.healthsystem.virginia.edu
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Pediatrics
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1245613082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746450",
"telephone_number": "866-401-3057",
"fax_number": "318-868-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CENTER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041541",
"telephone_number": "251-410-5437",
"fax_number": "251-434-3783"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229082824",
"country_code": "US",
"telephone_number": "434-924-2335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1204 W Main St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229032824",
"country_code": "US",
"telephone_number": "434-924-5321",
"fax_number": "434-244-4412",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "39216",
"country_code": "US",
"telephone_number": "601-984-6562",
"fax_number": "601-984-2086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4348 Electric Rd",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240180720",
"country_code": "US",
"telephone_number": "540-769-0976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLETTE",
"first_name": "THEODORE",
"middle_name": "J",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "T-3719",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101272247",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "VA",
"license": "0101272247",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "AL",
"license": "51881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.