Tiffany M Mills, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03128 Issued in KY

Practice address

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097

Phone

(606) 886-8546

Fax

(606) 886-8548

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mills.tiffany.008.0170011@bshc.meditab.direct-ci.com

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.

• Big Sandy Health Care, Inc

  dba Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1104055805
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD
• Big Sandy Health Care Inc

  dba Physicians for Women

  • Federally Qualified Health Center (FQHC)
  • Auxier, KY
  • NPI 1588606370
  NPD
• Big Sandy Health Care Inc

  dba Shelby Valley Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1700828597
  NPD
• Albaree Health Services LLC

  • Internal Medicine Physician
  • Salyersville, KY
  • NPI 1730232182
  NPD (past)
• Frontier Medical Associates of Paintsville Inc

  • Rural Health Clinic/Center
  • Paintsville, KY
  • NPI 1568070142
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1285848341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100057340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danna Mills
• Karyn Mills
• Kelli Mills
• Margie Mills
• Savannah Mills
• Minix One Hour Optical
• Annie Minix
• Brooklyn Minix
• Joshua Timothy Minix, DO
• Marcus S Minix Sr., OPTICIAN

• Pediatrics Physician in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.

Verify at the official NPI Registry.