DR. PHILIP R MILLS (NPI# 1487610945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610945 |
| Entity Type | Individual |
| Full Name | DR. PHILIP R MILLS |
| Other Name | PHILIP R MILLS |
| Credential | MD |
| Practice Address |
101 Riverstone Vis Suite 205 Blue Ridge GA 30513-6648 |
| Mailing Address |
101 Riverstone Vis Suite 215 Blue Ridge GA 30513-6648 |
| Practice Telephone | 7066324100 |
| Practice Fax Number | 7066323585 |
| Mailing Telephone | 7069464222 |
| Mailing Fax Number | 7069464223 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 05316 | GA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 56316 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 685603253C | 05 | |
| DEA | AM2364595 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730280918 | Philip Carlton Mills | Dentist | 13255 Se Stark St, Portland, OR 97233-1548 | 2006-09-26 |
| Street Address |
101 RIVERSTONE VIS SUITE 205 |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522262 | Frank Stanson Trigg | Internal Medicine | 101 Riverstone Vis, Suite 203, Blue Ridge, GA 30513-6648 | 2005-07-20 |
| 1194272542 | Lindsey Panter Niknezhad | Physician Assistant | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 | 2016-09-01 |
| 1255796082 | T and P Pharmacy | Pharmacy | 101 Riverstone Vis, Suite 107, Blue Ridge, GA 30513-6648 | 2015-12-21 |
| 1972978401 | Blue Ridge Dermatology | Physician Assistant | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2015-12-09 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| 1639433022 | Jammie Adams Savugot | Nurse Practitioner | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6648 | 2012-06-29 |
| 1336410059 | Brittany Marie Newberry | Nurse Practitioner | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | 2012-01-26 |
| 1386929222 | Marc S Berger Md PC | Family Medicine | 101 Riverstone Vis, Ste 217, Blue Ridge, GA 30513-6648 | 2011-10-11 |
| 1689954372 | Blue Ridge Dermatology | Dermatology | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2011-08-25 |
| 1043500457 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 103, Blue Ridge, GA 30513 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689954372 | Blue Ridge Dermatology | Dermatology | 101 Riverstone Vis, Ste 215, Blue Ridge, GA 30513-6648 | 2011-08-25 |
| 1902943921 | Riverstonemd PC | Dermatology | 101 Riverstone Vista, Blue Ridge, GA 30513-6648 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1972142891 | Worldwide Medical Distributor, LLC | Dermatology | 3780 Old Norcross Rd Ste 103, Duluth, GA 30096-1762 | 2019-12-23 |
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1154890564 | Sidney Adele Brown-caggiano | Dermatology | 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135-7542 | 2018-11-14 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1942780994 | Skyn Clinic & Apothecary | Dermatology | 1150 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-1903 | 2018-08-20 |
| 1649750688 | Zola Nemorin | Dermatology | 1500 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-8490 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.