Individual provider Active NPI

Jared Mills, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1285711671
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
067510 Issued in GA
Practice address
1028 Jamsie Cove Dr
Charleston, SC 29412-4965
Phone
(843) 696-5210
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 067510 GA Primary
Diagnostic Radiology Physician 2085R0202X 27905 SC

Addresses

Primary practice location

1028 Jamsie Cove Dr
Charleston, SC 29412-4965

Mailing address

1028 Jamsie Cove Dr
Charleston, SC 29412-4965
Phone (843) 696-5210

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000495 GA Practitioner - Diagnostic Radiology 8527235811 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of North GeorgiaGroup PAC ID 2769715044, 36 clinicians
Athens Radiology Associates PCGroup PAC ID 2860486107, 34 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 548-7581

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
067510GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia, LLC CurrentSince Dec 31, 2021 Accepting new patients
Athens Radiology Associates PC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Radiology Associates of North Georgia Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Pro Radiology, LLC CurrentSince May 1, 2022 Accepting new patients
Synergy Radiology, LLC CurrentSince May 1, 2022 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince May 1, 2022 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Jan 22, 2022 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Pin Point Radiology Management, L.P. Diagnostic Radiology Past Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

6025 Professional Pkwy
Ste 104
Douglasville, GA 30134
Phone (770) 444-9981

9459 Highway 5
Ste R
Douglasville, GA 30135

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

3921 Johns Creek Ct
Ste B
Suwanee, GA 30024
Phone (770) 217-7414

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1285711671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 JAMSIE COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124965",
            "telephone_number": "843-696-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 JAMSIE COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124965",
            "telephone_number": "843-696-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "067510",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "27905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.