Mills Family Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILLS FAMILY CLINIC, PLLC

Practice address

108 W Randolph Ave
Enid, OK 73701-4005

Phone

(580) 278-6804

Fax

(888) 498-4576

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jon Randall Mills, PHDNPI 1952627069

Title

Advisor

Phone

(918) 304-9608

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Randall Mills Jr., DO

  • Family Medicine Physician
  • Enid, OK
  • NPI 1952627069
  Medicare reassignment NPD Authorized official
• Adrienne Hernandez, APRN-CNP

  • Family Nurse Practitioner
  • Enid, OK
  • NPI 1932694957
  Medicare reassignment NPD
• Kylee McCollough, FNP-C

  • Family Nurse Practitioner
  • Enid, OK
  • NPI 1962201715
  Medicare reassignment NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1285379909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 W ORLANDO CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111153",
            "telephone_number": "918-304-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014005",
            "telephone_number": "580-278-6804",
            "fax_number": "888-498-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 W Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737032503",
            "country_code": "US",
            "telephone_number": "580-231-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLS FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "ADVISOR",
        "authorized_official_telephone_number": "918-304-9608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Linn Miller, LPC CANDIDATE
• Justin Miller, BHRS
• Mandy Miller, DMD
• Tanner Miller, PHARMD
• Vanessa Anne Miller
• Jamie Mills
• Jon Randall Mills Jr., DO
• Minor Emergency Clinic
• Miranov Chiropractic
• Nicole Rose Mirich

• Family Medicine Physician in Enid, OK
• Providers in Enid, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.