Active NPI
Pamela Marie Mills
- Family Nurse Practitioner
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21113
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21113 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Healthcare Physical Medicine of Greenville Inc | Current | Accepting new patients | |
| Superior Healthcare of Spartanburg | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Greenville, SC
- NPI 1194195941
SC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.