Active NPI
Heather Campbell Mills, FNP-C
- Family Nurse Practitioner
- Rogersville, TN
National Provider Identifier
1912374257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20241
- Practice address
- 482 Park Blvd Ste a
Rogersville, TN 37857-6927 - Phone
- (423) 272-6800
- Fax
- (423) 272-6773
- NPI assigned
- Aug 21, 2015
- Last updated
- Oct 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20241 | TN | Primary |
Addresses
Primary practice location
482 Park Blvd Ste a
Rogersville, TN 37857-6927
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093
Other practice location 1
705 N High St
Suite A
Morristown, TN 37814-3876
Phone (423) 587-0860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q015611 | Medicaid | TN |
Other names 1
- Heather Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
482 Park Blvd
Suite a
Rogersville, TN 37857-6927
Phone (423) 272-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20241 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Current | Accepting new patients | |
| Urgent Care LLC Dba This Visit | Past | Accepting new patients | |
| Knoxville Hma Physician Management, LLC | Family | Past | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900
482 Park Blvd
Ste A
Rogersville, TN 37857
Phone (423) 272-6800
Interoperability endpoints
- heathercampbell@hmgpath.allscriptsdirect.net
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1831110667
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
Family
-
- Primary Care Nurse Practitioner
- Morristown, TN
- NPI 1568998011
-
dba Vision Center brought to you by Walmart
- Optician
- Casper, WY
- NPI 1992747554
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health Care
- Home Health Agency
- Morristown, TN
- NPI 1639127319
-
dba Hawkins County Memorial Hospital
- General Acute Care Hospital
- Rogersville, TN
- NPI 1174553598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1912374257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2093",
"fax_number": "423-390-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 PARK BLVD STE A",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378576927",
"telephone_number": "423-272-6800",
"fax_number": "423-272-6773"
}
],
"practiceLocations": [
{
"address_1": "705 N High St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "TN",
"postal_code": "378143876",
"country_code": "US",
"telephone_number": "423-587-0860",
"fax_number": "423-289-1267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "HEATHER",
"middle_name": "CAMPBELL",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q015611",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "CAMPBELL",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rogersville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.