Individual provider Active NPI

Paul Warren Mills, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1770689226
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101597 Issued in FL
Practice address
1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471-3778
Phone
(352) 401-1218
Fax
(352) 401-1017
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101597 FL Primary

Addresses

Primary practice location

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471-3778

Mailing address

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471-3778
Phone (352) 401-1218

Other identifiers 1

IdentifierTypeStateIssuer
291767000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Trauma Network, LLC Past Accepting new patients
Capri Emergency Physicians Past Accepting new patients
Ocala Health Surgical Group LLC PastSince Aug 7, 2018 Accepting new patients
Community Hospital Family Practice LLC Past Accepting new patients
Sabal Palm Emergency Physicians Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1770689226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT",
            "address_2": "UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713778",
            "telephone_number": "352-401-1218",
            "fax_number": "352-401-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT",
            "address_2": "UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713778",
            "telephone_number": "352-401-1218",
            "fax_number": "352-401-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "PAUL",
        "middle_name": "WARREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291767000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.