Individual provider Active NPI

Ruth Mills, MD

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1386643088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15976 Issued in AL
Practice address
312 Kenmore Rd
Pensacola, FL 32503-7462
Phone
(850) 476-1100
Fax
(850) 471-7736
NPI assigned
Jul 15, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15976 AL Primary

Addresses

Primary practice location

312 Kenmore Rd
Pensacola, FL 32503-7462

Mailing address

312 Kenmore Rd
Pensacola, FL 32503-7462
Phone (850) 476-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130717000579 FL Order and Referring Only - Family PracticePractitioner - Family Practice 7416850086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15976ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Professional Agency Inc Past Accepting new patients
Foley Clinic Corp Family Medicine Past Accepting new patients
First Physicians Group PA Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruth.mills.1@24790.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386643088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 KENMORE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037462",
            "telephone_number": "850-476-1100",
            "fax_number": "850-471-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 KENMORE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037462",
            "telephone_number": "850-476-1100",
            "fax_number": "850-471-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.