Active NPI
Michael Kenneth Mills, MD
- Obstetrics & Gynecology Physician
- Salisbury, NC
National Provider Identifier
1831189257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 27955
- Practice address
- 135 Mocksville Ave
Salisbury, NC 28144-3323 - Phone
- (704) 645-9200
- Fax
- (704) 637-9815
- NPI assigned
- Oct 26, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27955 | NC | Primary |
Addresses
Primary practice location
135 Mocksville Ave
Salisbury, NC 28144-3323
Mailing address
135 Mocksville Ave
Salisbury, NC 28144-3323
Phone (704) 645-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2624039004 | Other | CIGNA | |
| 8959475 | Medicaid | NC | |
| C5979 | Other | MEDCOST | |
| 399524 | Other | MAMSI | |
| 59475 | Other | BLUE CROSS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27955 | NC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1831189257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443323",
"telephone_number": "704-645-9200",
"fax_number": "704-637-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443323",
"telephone_number": "704-645-9200",
"fax_number": "704-637-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MICHAEL",
"middle_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "27955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2624039004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8959475",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C5979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "399524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "59475",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.