Individual provider Active NPI

Pamela Marie Mills

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1952820136
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21113 Issued in SC
Practice address
201 Henry PL
Spartanburg, SC 29306-3208
Phone
(855) 663-7772
Fax
(864) 309-8004
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21113 SC Primary

Addresses

Primary practice location

201 Henry PL
Spartanburg, SC 29306-3208

Mailing address

10 Financial Blvd
Anderson, SC 29621-1770
Phone (855) 663-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106000110 SC Practitioner - Nurse Practitioner 2961768122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Healthcare Physical Medicine of Greenville IncGroup PAC ID 3274834874, 3 clinicians
Superior Healthcare of SpartanburgGroup PAC ID 4284034711, 4 clinicians

Practice addresses (Care Compare)

2520 Wade Hampton Boulevard
Suite B
Greenville, SC 29615-1178
Phone (864) 558-8174

945 E Main St
Suite 4
Spartanburg, SC 29302-2119
Phone (864) 404-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21113SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Physical Medicine of Greenville Inc CurrentSince Apr 13, 2021 Accepting new patients
Superior Healthcare of Spartanburg CurrentSince Nov 15, 2022 Accepting new patients

Locations

2520 Wade Hampton Blvd
Ste B
Greenville, SC 29615
Phone (864) 552-1142

140 Bridges Rd
Ste E
Mauldin, SC 29662
Phone (864) 404-0433

945 E Main St
Ste 4
Spartanburg, SC 29302
Phone (864) 404-0433

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1952820136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "855-663-7772",
            "fax_number": "864-309-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HENRY PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063208",
            "telephone_number": "855-663-7772",
            "fax_number": "864-309-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.