Active NPI
Kimberly S Mills
- Physician Assistant
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.1374
- Practice address
- 48 Medical Park Dr E Ste 458
Birmingham, AL 35235-3473 - Phone
- (205) 900-2000
- Fax
- (205) 838-4525
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008887 | NY | |
| Physician Assistant | 363A00000X | 4580 | TN | |
| Physician Assistant | 363A00000X | PA.1374 | AL | Primary |
Addresses
Primary practice location
48 Medical Park Dr E Ste 458
Birmingham, AL 35235-3473
Mailing address
48 Medical Park Dr E Ste 458
Birmingham, AL 35235-3473
Phone (205) 900-2000
Other practice location 1
Fast Pace Medical Clinic
129 N Locust Avenue
Lawrenceburg, TN 38464
Phone (931) 762-7232
Other practice location 2
1363 7th Ave East
Hendersonville, NC 28792
Phone (828) 698-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NC, TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7203 Goodman Rd
Olive Branch, MS 38654-1906
Phone (901) 759-2322
7658 Poplar Pike
Germantown, TN 38138-5941
Phone (901) 322-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4580 | TN | MD | Registered Dietitian |
| PA.1374 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology and Skin Cancer Associates, PLLC | Current | Accepting new patients | |
| Stratum Health Collective PLLC | Past | Accepting new patients | |
| Schweiger Dermatology PLLC | Past | Accepting new patients | |
| Semmes-Murphey Clinic PC | Physician Assistant | Past | Accepting new patients |
| Advanced Sleep Consultants of Middle TN, Inc | Past | Accepting new patients |
Locations
7203 Goodman Rd
Olive Branch, MS 38654
Phone (901) 759-2322
7658 Poplar Pike
Memphis, TN 38138
Phone (901) 322-2322
Interoperability endpoints
- kmills@directaddress.net
Organizations & group practices 7
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.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Germantown, TN
- NPI 1265604888
MS
-
- Dermatology Physician
- Jasper, AL
- NPI 1386381614
-
- Dermatology Physician
- Birmingham, AL
- NPI 1134700131
-
- Medical Specialty Clinic/Center
- Lebanon, TN
- NPI 1912048307
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
- Neurological Surgery Physician
- Memphis, TN
- NPI 1477571891
Physician Assistant
-
- Integrative Medicine Physician
- Brentwood, TN
- NPI 1740121516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1841215464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E STE 458",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353473",
"telephone_number": "205-900-2000",
"fax_number": "205-838-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E STE 458",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353473",
"telephone_number": "205-900-2000",
"fax_number": "205-838-4525"
}
],
"practiceLocations": [
{
"address_1": "Fast Pace Medical Clinic",
"address_2": "129 N Locust Avenue",
"address_purpose": "LOCATION",
"city": "Lawrenceburg",
"state": "TN",
"postal_code": "38464",
"country_code": "US",
"telephone_number": "931-762-7232",
"fax_number": "931-762-7234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1363 7th Ave East",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "28792",
"country_code": "US",
"telephone_number": "828-698-5757",
"fax_number": "828-698-5799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "KIMBERLY",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008887",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4580",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.