Individual provider Active NPI

Tammy Denise Mills

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1609126044
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169836 Issued in VA
Practice address
11039 Hull Street Rd
Midlothian, VA 23112-3254
Phone
(804) 658-3483
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0017140467 VA
Family Nurse Practitioner 363LF0000X 0024169836 VA Primary

Addresses

Primary practice location

11039 Hull Street Rd
Midlothian, VA 23112-3254

Mailing address

11039 Hull Street Rd
Midlothian, VA 23112-3254
Phone (804) 658-3483

Other practice location 1

11037 Hull Street Rd
Midlothian, VA 23112-3254
Phone (804) 745-8745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000361 VA Practitioner - Nurse Practitioner 6800047523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Regional Medical Center, PCGroup PAC ID 3577801950, 9 clinicians

Practice addresses (Care Compare)

8266 Atlee Rd
Suite 224
Mechanicsville, VA 23116-1813
Phone (804) 454-7240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0017140467VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Knee Restoration & Regenerative Medicine - Richmond CurrentSince Jun 26, 2023 Accepting new patients
Integrative Regional Medical Center, P.C. CurrentSince May 5, 2025 Accepting new patients
Atlantic Knee Restoration & Regenerative Medicine - Alexandria Past Accepting new patients

Locations

8266 Atlee Rd
Ste 224
Mechanicsvlle, VA 23116
Phone (804) 454-7240

7481 Right Flank Rd
Ste 100
Mechanicsvlle, VA 23116
Phone (804) 616-4515

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1609126044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11039 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-658-3483",
            "fax_number": "888-628-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11039 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-658-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11037 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231123254",
            "country_code": "US",
            "telephone_number": "804-745-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "TAMMY",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017140467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.