Individual provider Active NPI

C. Scott Mills, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Clemmons, NC
National Provider Identifier
1720024003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2116 Issued in NC
Practice address
3780 Clemmons Rd
Suite a
Clemmons, NC 27012-7514
Phone
(336) 766-2677
Fax
(336) 778-2277
NPI assigned
Jun 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Audiologist-Hearing Aid Fitter 237600000X 2116 NC Primary

Addresses

Primary practice location

3780 Clemmons Rd
Suite a
Clemmons, NC 27012-7514

Mailing address

3780 Clemmons Rd
Suite a
Clemmons, NC 27012-7514
Phone (336) 766-2677

Other identifiers 1

IdentifierTypeStateIssuer
59334OtherNCBCBS NC INDIVID PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000743 NC Practitioner - Qualified Audiologist 4385739937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Hearing Doctors, Inc.Group PAC ID 5890880447, 2 clinicians

Practice addresses (Care Compare)

3780 Clemmons Rd
Clemmons, NC 27012-7515
Phone (336) 766-2677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2116NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Hearing Doctors, Inc. Audiologist-Hearing Aid Fitter CurrentSince Mar 1, 2007 Accepting new patients
Hearing Clinic, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

3780 Clemmons Rd
Ste A
Clemmons, NC 27012
Phone (336) 766-2677

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, 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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720024003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 CLEMMONS RD",
            "address_2": "SUITE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127514",
            "telephone_number": "336-766-2677",
            "fax_number": "336-778-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 CLEMMONS RD",
            "address_2": "SUITE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127514",
            "telephone_number": "336-766-2677",
            "fax_number": "336-778-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "C.",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC INDIVID PROVIDER",
            "identifier": "59334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.