Individual provider Active NPI

Shirley Mills, MD

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1508360074
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11577100 Issued in NJ
Practice address
1657 Trinity Dr
Pensacola, FL 32504-5708
Phone
(850) 416-2400
Fax
(850) 416-2330
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MA11577100 NJ Primary
Obstetrics & Gynecology Physician 207V00000X TRN26479 FL

Addresses

Primary practice location

1657 Trinity Dr
Pensacola, FL 32504-5708

Mailing address

1657 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-2400

Other practice location 1

1600 Haddon Ave Fl 4
Camden, NJ 08103-3101
Phone (856) 757-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smills328497@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220921002351 NJ Practitioner - Obstetrics/Gynecology 5698150076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Drexel University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
BLDG 1000 Suite 1000 Apg Urogynecology Eht
Egg Harbor Township, NJ 08234-5562
Phone (609) 383-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN26479FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Mar 5, 2024 Accepting new patients
Atlanticare Physician Group PA Obstetrics & Gynecology CurrentSince Nov 20, 2022 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Mar 5, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Nov 20, 2022 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Southern Jersey Family Medical Centers Inc Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

301 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-9797

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 7

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 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1508360074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 TRINITY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045708",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 TRINITY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045708",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Haddon Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11577100",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN26479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smills328497@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Ave Fl 4",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.