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MILLS FAMILY PRACTICE
NPI 1205505344
Family Medicine in South Boston, VA

Active since September 11, 2021CLIA 49D2236398 · Waiver
1320 SEYMOUR DR, SOUTH BOSTON, VA 24592(434) 579-0069 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Sep 11, 2021 (2 updates tracked since 2021).

About Mills Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLS FAMILY PRACTICE (NPI 1205505344) is a healthcare organization registered as a family medicine in South Boston, Virginia and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Kenneth Eugene Mills, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205505344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLS FAMILY PRACTICE
Location Address1320 SEYMOUR DRSouth Boston, VA 24592-3900
Mailing AddressPo Box 1303South Boston, VA 24592-1303 · (434) 404-3970 · Fax (434) 404-3371
Phone(434) 579-0069
Organization SubpartNo
Authorized OfficialKenneth Eugene MillsOffice Manager · (434) 404-3970
Enumeration DateSeptember 11, 2021
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1205505344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1320 SEYMOUR DR, South Boston, VA 24592
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2236398

Mills Family Practice LLC · South Boston, VA
Active · expires Sep 15, 2027
CLIA Number49D2236398
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorAmy C. Mills
Laboratory Phone(434) 579-0069
Laboratory LocationMills Family Practice LLC1320 Seymour Drive, South Boston, VA 24592
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mills Family Practice's NPI number?

The NPI number for Mills Family Practice is 1205505344. It was assigned to this organization in the NPPES registry on September 11, 2021.

Where is Mills Family Practice located?

Mills Family Practice is located at 1320 Seymour Dr, South Boston, VA 24592. The listed phone number is (434) 579-0069.

What is Mills Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mills Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2236398) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mills Family Practice was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.