Individual provider Active NPI

Shelly Kay Mills, MD

  • Family Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1821280322
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34009740 Issued in OH
Practice address
7251 Engle Rd Ste 402
Middleburg Heights, OH 44130-3443
Phone
(440) 826-0500
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34009740 OH Primary

Addresses

Primary practice location

7251 Engle Rd Ste 402
Middleburg Heights, OH 44130-3443

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (440) 826-0500

Other practice location 1

25568 Elliott Rd
Defiance, OH 43512-9003
Phone (419) 782-2147

Other identifiers 1

IdentifierTypeStateIssuer
3045234MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Everside Health, LLC CurrentSince Sep 11, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

25568 Elliott Rd
Defiance, OH 43512
Phone (419) 782-2147

Interoperability endpoints

  • Direct secure messaging: shelly.mills.1@14940.direct.athenahealth.com
  • Direct secure messaging: shelly.mills@fultoncounty.medicity.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1821280322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "440-826-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 ENGLE RD STE 402",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303443",
            "telephone_number": "440-826-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25568 Elliott Rd",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435129003",
            "country_code": "US",
            "telephone_number": "419-782-2147",
            "fax_number": "419-822-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SHELLY",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34009740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.