Individual provider Active NPI

Brittany Griffin Mullins, NP-C

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1083135958
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902069 Issued in MS
Practice address
201 Highway 51 N Ste a
Brookhaven, MS 39601-2653
Phone
(601) 833-5333
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 902069 MS Primary

Addresses

Primary practice location

201 Highway 51 N Ste a
Brookhaven, MS 39601-2653

Mailing address

376 Branning Dr
Monticello, MS 39654-9566

Other practice location 1

4216 Highway 43
Silver Creek, MS 39663-4535
Phone (601) 748-6238

Other identifiers 1

IdentifierTypeStateIssuer
00829262MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20171103000188 MS Practitioner - Nurse Practitioner 8820354004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Hwy 51 N a
Brookhaven, MS 39601-2653

616 Brookway Blvd
Brookhaven, MS 39601-2638
Phone (601) 515-4949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902069MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Care, LLC CurrentSince Oct 15, 2021 Accepting new patients

Locations

201 Highway 51 N
#A
Brookhaven, MS 39601
Phone (601) 515-4949

616 Brookway Blvd
Brookhaven, MS 39601

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1083135958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BRANNING DR",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396549566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 51 N STE A",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012653",
            "telephone_number": "601-833-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4216 Highway 43",
            "address_purpose": "LOCATION",
            "city": "Silver Creek",
            "state": "MS",
            "postal_code": "396634535",
            "country_code": "US",
            "telephone_number": "601-748-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "BRITTANY",
        "middle_name": "GRIFFIN",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00829262",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.