Anthony Dwayne Mills, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044023 Issued in GA

Practice address

770 Old Roswell PL
Suite J100
Roswell, GA 30076-1670

Phone

(404) 547-7450

Fax

(770) 643-2011

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Georgia Health Clinics, LLC

  • Medical Specialty Clinic/Center
  • Roswell, GA
  • NPI 1982288536
  NPD
• Dunwoody Seniors Inc

  • Specialist
  • Lilburn, GA
  • NPI 1154364883
  NPD (past)
• Medprime, LLC

  dba Wellness Plus Clinic

  • General Practice Physician
  • Atlanta, GA
  • NPI 1578843256
  NPD (past)
• Peachtree Seniors Inc

  • Specialist
  • Atlanta, GA
  • NPI 1144300880
  NPD (past)
• Suburban Seniors Inc

  • Specialist
  • Oakbrook Terrace, IL
  • NPI 1801831623
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1265478234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 OLD ROSWELL PL",
            "address_2": "SUITE J100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761670",
            "telephone_number": "404-547-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OLD ROSWELL PL",
            "address_2": "SUITE J100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761670",
            "telephone_number": "404-547-7450",
            "fax_number": "770-643-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ANTHONY",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "044023",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LIC",
            "identifier": "044023",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL LIC",
            "identifier": "36092640",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH IDENTIFIER",
            "identifier": "11343981",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000762088D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Beadles Miller, PA-C
• Randall Wayne Miller, D.D.S.
• Scott D Miller, M.D.
• Todd D Miller, M.D.
• Adrienne Millis, LPC
• Jonathan Mills
• Jennifer Erin Millsap, PHYSICIANS ASSISTANT
• Milton Speech Pathology
• Milton Speech Pathology, LLC (Amy Squires, SLP)
• Madison Allen Mims, WHNP-BC

• Family Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.