Organization Active NPI

Mullen Elder Care, P.C.

  • Specialist
  • Ringgold, GA
National Provider Identifier
1083882435
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
039882 Issued in GA
Legal business name
MULLEN ELDER CARE, P.C.
Practice address
126 Sequoyah TRL
Ringgold, GA 30736-4360
Phone
(706) 965-2179
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Thomas Mullen, MD
Title
President
Phone
(706) 965-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 039882 GA Primary

Addresses

Primary practice location

126 Sequoyah TRL
Ringgold, GA 30736-4360

Mailing address

126 Sequoyah TRL
Ringgold, GA 30736-4360

National Provider Directory

National Provider Directory

Locations

1114 Burleyson Rd
Dalton, GA 30720
Phone (706) 226-4642

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1083882435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SEQUOYAH TRL",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307364360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SEQUOYAH TRL",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307364360",
            "telephone_number": "706-965-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLEN ELDER CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-965-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "039882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.