Active NPI
Paul Michael Mills, ATC-LAT
- Athletic Trainer
- Milledgeville, GA
National Provider Identifier
1871629212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000523
- Practice address
- 201 E Greene St
Milledgeville, GA 31061-3519 - Phone
- (478) 445-7576
- Fax
- (478) 445-0841
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000523 | GA | Primary |
Addresses
Primary practice location
201 E Greene St
Milledgeville, GA 31061-3519
Mailing address
201 E Greene St
Milledgeville, GA 31061-3519
Phone (478) 445-7576
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000523 | GA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Military College | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Milledgeville, GA
- NPI 1063766731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871629212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E GREENE ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613519",
"telephone_number": "478-445-7576",
"fax_number": "478-445-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E GREENE ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613519",
"telephone_number": "478-445-7576",
"fax_number": "478-445-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "ATC-LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "000523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
- Milledgeville Medical Center Pharmacy Inc (Medical Center Pharmacy)
- Milledgeville OBGYN Associates, P.C.
- Milledgeville Orthotics Inc (no)
- Milledgeville Pediatrics PC
- Lauren S Mills, FNP-C
- Shanequa Milner
- Katharine E Milnes, AU.D.
- Kyaw Minn, M.D.
- Sallyann Mary Mitchell-Strange, NP
- Brooks Anne Mitchell, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.