Active NPI
John Frederick Mills, DO
- Family Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102037144
- Practice address
- 1800 Glenside Dr
Suite 110
Richmond, VA 23226-3769 - Phone
- (804) 288-1800
- Fax
- (804) 288-0515
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102037144 | VA | Primary |
Addresses
Primary practice location
1800 Glenside Dr
Suite 110
Richmond, VA 23226-3769
Mailing address
1800 Glenside Dr
#105
Richmond, VA 23226-3769
Phone (804) 288-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5620694 | Medicaid | VA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Care Center LLC | Family Medicine | Current | Accepting new patients |
| Commonwealth Primary Care | Family Medicine | Current | Accepting new patients |
Locations
7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141
9930 Independence Park Dr
Ste 101
Richmond, VA 23233
Phone (804) 290-0060
3002 Stony Point Rd
Ste A
Richmond, VA 23235
Phone (804) 237-0702
1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399
1800 Glenside Dr
Ste 110
Richmond, VA 23226
Phone (804) 288-1800
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1750571287
-
- Family Medicine Physician
- Richmond, VA
- NPI 1871792622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1790738425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 GLENSIDE DR",
"address_2": "#105",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263769",
"telephone_number": "804-288-1800",
"fax_number": "804-288-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 GLENSIDE DR",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263769",
"telephone_number": "804-288-1800",
"fax_number": "804-288-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102037144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5620694",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.