Active NPI
Pathway Internal Medicine
- Internal Medicine Physician
- Canton, GA
National Provider Identifier
1790968287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 032252
- Legal business name
- PATHWAY INTERNAL MEDICINE
- Practice address
- 120 Hickory Rd
Canton, GA 30115-9600 - Phone
- (770) 720-2221
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Allen Mills, M.D.
- Title
- Owner
- Phone
- (770) 720-2221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 032252 | GA | Primary |
Addresses
Primary practice location
120 Hickory Rd
Canton, GA 30115-9600
Mailing address
120 Hickory Rd
Canton, GA 30115-9600
Phone (770) 720-2221
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Holly Springs, GA
- NPI 1386980837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1790968287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HICKORY RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301159600",
"telephone_number": "770-720-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HICKORY RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301159600",
"telephone_number": "770-720-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-720-2221",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "032252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.