Individual provider Active NPI

Alyssa A. Mills, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1942384839
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2004-00554 Issued in NC
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891367MedicaidNC
1367VOtherNCNCBCBS
5903342MedicaidNC
Q0055CMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000929 NC Practitioner - Obstetrics/Gynecology 2567438096 Reassigns benefits to 4 organizations

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
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

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

LicenseStateTypeSpecialty
2004-00554NCMDObstetrics & Gynecology Physician
01068561AINMDMaternal & Fetal Medicine Physician
2004-00544NCMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC Obstetrics & Gynecology CurrentSince May 27, 2023 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 CurrentSince Apr 1, 2012 Accepting new patients
NMG Health Services LLC Obstetrics & Gynecology Current Accepting new patients
Caromont Medical Group Inc Maternal & Fetal Medicine CurrentSince Feb 1, 2021 Accepting new patients
NMG Health Services, LLC Maternal & Fetal Medicine CurrentSince May 27, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 1, 2012 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Dec 20, 2020 Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 1, 2021 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.