Individual provider Active NPI

Christine Mariana Mills, M.D.

  • Interventional Cardiology Physician
  • Aiken, SC
National Provider Identifier
1992142848
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
86341 Issued in SC
Practice address
118 Park Ave SW
Aiken, SC 29801-3835
Phone
(706) 721-8623
NPI assigned
Jun 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 98659 GA
Interventional Cardiology Physician 207RI0011X 86341 SC Primary

Addresses

Primary practice location

118 Park Ave SW
Aiken, SC 29801-3835

Mailing address

1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

137 Miracle Dr
Aiken, SC 29801-6351
Phone (803) 641-4874

Other practice location 2

1120 15th St
Augusta, GA 30912-3835
Phone (706) 721-8623

Other names 1

  • Christine Mariana Destephan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210907000892 SC Practitioner - Interventional CardiologyPractitioner - Internal Medicine 8325333685 Reassigns benefits to 4 organizations
I20240315002682 GA Practitioner - Interventional Cardiology 8325333685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, shared by 2 NPIs, 3,059 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

118 Park Ave SW
Aiken, SC 29801-3835
Phone (706) 721-8623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

587 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 721-8623

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Feb 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Feb 27, 2024 Accepting new patients
Aiken Professional Association, LLC Internal Medicine Current Accepting new patients
McLeod Physician Associates II Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Aiken Professional Association LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 27, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1003 Chafee Ave
Augusta, GA 30904
Phone (706) 721-2426

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

3793 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 390-0877

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1992142848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARK AVE SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013835",
            "telephone_number": "706-721-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Miracle Dr",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016351",
            "country_code": "US",
            "telephone_number": "803-641-4874",
            "fax_number": "803-641-0436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309123835",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CHRISTINE",
        "middle_name": "MARIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "98659",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "86341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DESTEPHAN",
            "middle_name": "MARIANA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.