Kimberly M Mills, MD a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD026345 Issued in LA

Legal business name

KIMBERLY M MILLS, MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

2804 Forsythe Ave
Monroe, LA 71201-3008

Phone

(318) 388-0032

Fax

(318) 388-0491

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly M Mills, MDNPI 1194825729

Title

Owner

Phone

(318) 388-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M Mills, M.D.

  • Clinical & Laboratory Dermatological Immunology Physician
  • Monroe, LA
  • NPI 1194825729
  Medicare reassignment Care Compare group NPD Authorized official
• Erin N Cantu, PA

  • Medical Physician Assistant
  • Monroe, LA
  • NPI 1184274185
  Medicare reassignment Care Compare group
• Leigh Anna Cordill, PA-C

  • Medical Physician Assistant
  • Monroe, LA
  • NPI 1528126588
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881728376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013008",
            "telephone_number": "318-388-0032",
            "fax_number": "318-388-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013008",
            "telephone_number": "318-388-0032",
            "fax_number": "318-388-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M MILLS, MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-388-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD026345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578584",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hemanth Kilaru
• Victoria Markiya Killian
• Elisha Kilpatrick, OTR
• Kim Storm Counseling, LLC
• Kimberly Foster
• Jamar Kimble Sr.
• Anitra Kimble
• Cindy Bailey Kimble, MOT, LOTR
• Gevai Kimble
• Kevoncea Kimble

• Specialist in Monroe, LA
• Providers in Monroe, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.