Active NPI
Patricia Chu Mulder, PA
- Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 790 Church St NE Ste 400
Marietta, GA 30060-8957 - Phone
- (770) 405-2976
- NPI assigned
- Apr 22, 2014
- Last updated
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
790 Church St NE Ste 400
Marietta, GA 30060-8957
Mailing address
PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976
Other practice location 1
818 Church St NE
Marietta, GA 30060-8981
Phone (770) 590-4190
Other practice location 2
2639 Morgan Lake Dr NE
Marietta, GA 30066-5611
Phone (786) 925-7385
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmulder110515@directwellstar.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
4282 Bells Ferry Rd NW
Kennesaw, GA 30144-1302
Phone (678) 701-4125
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
789 Church St NE
Suite 200
Marietta, GA 30060-7238
Phone (770) 881-7964
790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2106 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Quantum Radiology, PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Tuomey | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Mount Lassen Emergency Physicians LLC | Past | Accepting new patients | |
| Lavender Inpatient Services LLC | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
790 Church St NE
Ste 400
Marietta, GA 30060
Phone (770) 405-2976
818 Church St NE
Marietta, GA 30060
Phone (770) 590-4190
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1366495988
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar South Cobb Primary Care
- Internal Medicine Physician
- Austell, GA
- NPI 1508162173
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1902215767
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1730598590
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1063832749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063157",
"telephone_number": "770-405-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608957",
"telephone_number": "770-405-2976"
}
],
"practiceLocations": [
{
"address_1": "818 Church St NE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300608981",
"country_code": "US",
"telephone_number": "770-590-4190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2639 Morgan Lake Dr NE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300665611",
"country_code": "US",
"telephone_number": "786-925-7385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULDER",
"first_name": "PATRICIA",
"middle_name": "CHU",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmulder110515@directwellstar.org",
"affiliation": "N",
"address_1": "818 Church St NE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300608981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.