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DR MILLIS MEDICAL WELLNESS CENTER
NPI 1417548454
Family Medicine in Kennesaw, GA

Active since February 02, 2021
1275 SHILOH RD NW STE 2051, KENNESAW, GA 30144(678) 737-4863(706) 222-4016 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2023, Jun 8, 2022, Feb 2, 2021 (3 updates tracked since 2021).

About Dr Millis Medical Wellness Center NPPES

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

DR MILLIS MEDICAL WELLNESS CENTER (NPI 1417548454) is a healthcare organization registered as a family medicine in Kennesaw, Georgia and active in the NPI registry since February 2021. The organization lists Mildred Joann Santorufo, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1417548454
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR MILLIS MEDICAL WELLNESS CENTER
Location Address1275 SHILOH RD NW STE 2051Kennesaw, GA 30144-7199
Mailing Address1275 Shiloh Rd Nw Ste 2051Kennesaw, GA 30144-7199 · (678) 737-4863
Phone(678) 737-4863
Fax(706) 222-4016
Organization SubpartNo
Authorized OfficialMildred Joann SantorufoPhysician Owner · (678) 737-4863
Enumeration DateFebruary 2, 2021
Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1417548454 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.
1275 SHILOH RD NW STE 2051, Kennesaw, GA 30144
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MILDRED JOANN SANTORUFO DO
Family Medicine
1275 SHILOH RD NW STE 2051
KENNESAW, GA 30144
Cobb County (678) 737-4863

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 Dr Millis Medical Wellness Center's NPI number?

The NPI number for Dr Millis Medical Wellness Center is 1417548454. It was assigned to this organization in the NPPES registry on February 2, 2021.

Where is Dr Millis Medical Wellness Center located?

Dr Millis Medical Wellness Center is located at 1275 Shiloh Rd NW Ste 2051, Kennesaw, GA 30144. The listed phone number is (678) 737-4863.

What is Dr Millis Medical Wellness Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Dr Millis Medical Wellness Center was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.