Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB ROBERT MILLS
NPI 1609486596
Psychologist in Charlotte, NC

Active since August 05, 2020PECOS Enrolled
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Oct 8, 2021, Aug 5, 2020 (3 updates tracked since 2020).

About Jacob Robert Mills NPPES

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

JACOB ROBERT MILLS (NPI 1609486596) is an individual psychologist in Charlotte, North Carolina and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609486596
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJACOB ROBERT MILLS
Location Address1021 MOREHEAD MEDICAL DRCharlotte, NC 28204-2839
Mailing Address1021 Morehead Medical DrCharlotte, NC 28204-2839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2020
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1609486596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Robert Mills is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799139879
PECOS Enrollment IDI20230922001637
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Mills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
ROUTE 79
Dawes, WV 25054
  • Reassigned Medicare billing, West Virginia enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Urology
1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204

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 Jacob Mills's NPI number?

The NPI number for Jacob Mills is 1609486596. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jacob Mills located?

Jacob Mills practices at 1021 Morehead Medical Dr, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Jacob Mills's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacob Mills enrolled in Medicare?

Yes. Jacob Mills is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Mills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mills reassigns Medicare benefits to Cabin Creek Health Center, Inc. (Dawes, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Mills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Mills accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jacob Mills as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Mills was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.