Individual provider Active NPI

Tabitha Hendrix Mullis, NP-C

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1013329846
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN167847 Issued in GA
Practice address
110 Corporate SQ
Dublin, GA 31021-4246
Phone
(478) 205-5177
Fax
(478) 205-5180
NPI assigned
May 28, 2014
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN167847 GA Primary

Addresses

Primary practice location

110 Corporate SQ
Dublin, GA 31021-4246

Mailing address

110 Corporate SQ
Dublin, GA 31021-4246
Phone (478) 205-5177

Other names 1

  • Mrs. Tabitha Hendrix Sapp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219000913 GA Practitioner - Nurse Practitioner 0749617488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN167847GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Cardiology Associates PC CurrentSince Oct 1, 2021 Accepting new patients

Locations

206 Hospital Dr
Ste A
Dublin, GA 31021
Phone (478) 272-3525

2064 Vineville Ave
Macon, GA 31204
Phone (478) 272-3525

3330 Northside Dr
Ste 200
Macon, GA 31210
Phone (478) 309-1809

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICJDD/Endpoint/JICJDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013329846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CORPORATE SQ",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214246",
            "telephone_number": "478-205-5177",
            "fax_number": "478-205-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CORPORATE SQ",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214246",
            "telephone_number": "478-205-5177",
            "fax_number": "478-205-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "TABITHA",
        "middle_name": "HENDRIX",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN167847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "SAPP",
            "middle_name": "HENDRIX",
            "prefix": "MRS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.