Active NPI
Robert J Mills, MD
- Cardiovascular Disease Physician
- Cleveland, TN
National Provider Identifier
1376517557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 26816
- Practice address
- 400 Berywood TRL NW
Suite a
Cleveland, TN 37312-5287 - Phone
- (423) 697-2000
- Fax
- (423) 697-2118
- NPI assigned
- Feb 15, 2006
- Last updated
- May 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 26816 | TN | Primary |
Addresses
Primary practice location
400 Berywood TRL NW
Suite a
Cleveland, TN 37312-5287
Mailing address
2501 Citico Ave
Chattanooga Heart Institute
Chattanooga, TN 37404-1127
Phone (423) 697-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3091242 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Medical Group, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hixson, TN
- NPI 1346250057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1376517557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CITICO AVE",
"address_2": "CHATTANOOGA HEART INSTITUTE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041127",
"telephone_number": "423-697-2000",
"fax_number": "423-697-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BERYWOOD TRL NW",
"address_2": "SUITE A",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373125287",
"telephone_number": "423-697-2000",
"fax_number": "423-697-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "26816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3091242",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.