NPIMap

Organization Active NPI

Gary L. Mills D.C.P.S.C.

  • Primary Care Clinic/Center
  • Georgetown, KY
National Provider Identifier
1982759627
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3833 Issued in KY
Legal business name
GARY L. MILLS D.C.P.S.C.
Practice address
407 S Broadway St
Georgetown, KY 40324-1342
Phone
(502) 863-9987
Fax
(502) 863-1356
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary L. Mills, D.C.NPI 1811042609
Title
Pres. & Ceo
Phone
(502) 863-9987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3833 KY Primary

Addresses

Primary practice location

407 S Broadway St
Georgetown, KY 40324-1342

Mailing address

407 S Broadway St
Georgetown, KY 40324-1342
Phone (502) 863-9987

Other identifiers 1

IdentifierTypeStateIssuer
000000053363OtherKYANTHEM BC, BS

Other names 1

  • Mills Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

407 S Broadway St
Georgetown, KY 40324
Phone (502) 863-9987

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982759627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S BROADWAY ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241342",
            "telephone_number": "502-863-9987",
            "fax_number": "502-863-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S BROADWAY ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241342",
            "telephone_number": "502-863-9987",
            "fax_number": "502-863-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. MILLS D.C.P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRES. & CEO",
        "authorized_official_telephone_number": "502-863-9987",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC, BS",
            "identifier": "000000053363",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.