Active NPI
Susan D Mills, PA
- Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8815
- Practice address
- 790 Church St NE Ste 400
Marietta, GA 30060-8957 - Phone
- (770) 405-2976
- NPI assigned
- May 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | ||
| Physician Assistant | 363A00000X | 8815 | GA | Primary |
Addresses
Primary practice location
790 Church St NE Ste 400
Marietta, GA 30060-8957
Mailing address
PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976
Other practice location 1
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3773
Other practice location 2
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-6911
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000
790 Church Nest
Suite 400
Marietta, GA 30060-8957
Phone (678) 581-3830
790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Em-I Medical Services PC | Physician Assistant | Current | Accepting new patients |
Locations
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1366495988
-
- Emergency Medicine Physician
- Fayetteville, GA
- NPI 1730585548
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1427585058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063157",
"telephone_number": "770-405-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608957",
"telephone_number": "770-405-2976"
}
],
"practiceLocations": [
{
"address_1": "43 New Scotland Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083412",
"country_code": "US",
"telephone_number": "518-262-3773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Highway 54 W",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302144526",
"country_code": "US",
"telephone_number": "770-719-6911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "SUSAN",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-14",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "8815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.