Debra Q Mills, M.D.
Pediatrics in Johnson City, TN. Individual provider (NPI-1).
NPI number1467447367
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1467447367
- Entity type
- Individual (NPI-1)
- Name
- Debra Q Mills
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2005
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD27141 | TN | Yes |
Practice location
325 N State Of Franklin RdGround Fl
Johnson City, TN 37604-6062
Phone 423-439-7320 · Fax 423-439-7343
Mailing address
Po Box 699Mountain Home, TN 37684-0699
Phone 423-439-7320 · Fax 423-439-7343
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