Active NPI
Alyssa A. Mills, MD
- Obstetrics & Gynecology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2004-00554
- Practice address
- 1718 E 4TH St
Suite 404
Charlotte, NC 28204-3261 - Phone
- (704) 384-5701
- Fax
- (704) 384-5642
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 25, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2004-00554 | NC | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2004-00544 | NC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 01068561A | IN |
Addresses
Primary practice location
1718 E 4TH St
Suite 404
Charlotte, NC 28204-3261
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-5701
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891367 | Medicaid | NC | |
| 1367V | Other | NC | NCBCBS |
| 5903342 | Medicaid | NC | |
| Q0055C | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amills25307@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1718 E 4TH St
Suite 404
Charlotte, NC 28204-3193
Phone (704) 384-5701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00554 | NC | MD | Obstetrics & Gynecology Physician |
| 01068561A | IN | MD | Maternal & Fetal Medicine Physician |
| 2004-00544 | NC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Health Services, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| NMG Health Services LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Caromont Medical Group Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| NMG Health Services, LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Past | Accepting new patients | |
| NMG Health Services, LLC | Maternal & Fetal Medicine | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1718 E 4th St
Ste 404
Charlotte, NC 28204
Phone (704) 384-5701
6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354
620 Summit Crossing Pl
Ste 108C
Gastonia, NC 28054
Phone (704) 671-6912
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- amills25307@direct.novanthealth.org
Organizations & group practices 13
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.
-
dba NHMG OBGYN Urgent Care Clinics
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1396455267
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
Obstetrics & Gynecology
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba CaroMont Womens Health
- Maternal & Fetal Medicine Physician
- Gastonia, NC
- NPI 1437338050
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Charlotte, NC
- NPI 1093696353
-
dba NHMG Maternal Fetal Mediicine Clinics
- Maternal & Fetal Medicine Physician
- Charlotte, NC
- NPI 1699464750
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Acute Care Surgeons Post Operative Clinic
- Surgery Physician
- Winston Salem, NC
- NPI 1891175956
-
dba Novant Health Carolina Womens Health Associates
- Obstetrics & Gynecology Physician
- Salisbury, NC
- NPI 1891932687
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Stanley, NC
- NPI 1245419845
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1942384839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-5701",
"fax_number": "704-384-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 404",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043261",
"telephone_number": "704-384-5701",
"fax_number": "704-384-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ALYSSA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2020-10-25",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2004-00554",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "2004-00544",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "01068561A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891367",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "1367V",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903342",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0055C",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amills25307@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St",
"address_2": "Suite 404",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043261",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.