Michael R. McMullan, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

13195 Issued in MS

Practice address

2500 N State St
Division of Cardiology
Jackson, MS 39216-4500

Phone

(601) 984-6426

Fax

(601) 984-6439

NPI assigned

Jul 6, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

University of Mississippi School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
• Merit Health Madison Hospital, Canton, MS, CCN 250038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: mmcmullan36528@ummc.direct-ci.com

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Medicare reassignment Care Compare group NPD
• Yalobusha General Hospital

  dba Yalobusha General Hospital Prof Fee

  • General Acute Care Hospital
  • Water Valley, MS
  • NPI 1740380914
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Family Medicine Physician
  • Lexington, MS
  • NPI 1013020395
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Wayne General Hospital

  dba Wayne General Hospitalist

  • Hospitalist Physician
  • Waynesboro, MS
  • NPI 1699589143
  NPD
• Wayne General Hospital

  dba Wayne General ER Physicians

  • Emergency Medicine Physician
  • Waynesboro, MS
  • NPI 1972728590
  NPD
• Yalobusha General Hospital

  dba Yalobusha Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Water Valley, MS
  • NPI 1174069033
  NPD
• Yalobusha General Hospital

  dba Water Valley Walk In Clinic

  • Nurse Practitioner
  • Water Valley, MS
  • NPI 1386024438
  NPD
• Mississippi Methodist Hospital & Rehabilitation Center, Inc.

  dba Methodist Rehab Center

  • Physical Medicine & Rehabilitation Physician
  • Jackson, MS
  • NPI 1790711273
  NPD (past)
• Ms Methodist Hospital & Rehabilitation Center

  dba Methodist Rehab Ceter

  • Clinical Neuropsychologist
  • Jackson, MS
  • NPI 1285772293

  Cardiovascular Disease

  NPD (past)
• University Internal Medicine Assoc LLP

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1083656870
  NPD (past)

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

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  dba Merit Health Madison

  • General Acute Care Hospital
  • Canton, MS
  • NPI 1194770404
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1104857036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5640",
            "fax_number": "601-984-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DIVISION OF CARDIOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-6426",
            "fax_number": "601-984-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "13195",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "13195",
            "primary": true
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "MS",
            "license": "13195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01402426",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119549",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Nichols McMillin, FNP-C
• Mary Elise McMinn Dillinger, MD
• Karmen McMinn, PHARMD
• Missy Jackson McMinn, M.D.
• Matthew Ryan McMullan, MD
• Robert W. McMurray Jr., MD
• McNair Chronic Disease Consultant (Rosie L. Walker-McNair MD)
• Kimberly Mychel McNair
• Lashandra McNair, RDN
• Monieca Michelle McNair

• Interventional Cardiology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Interventional Cardiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.

Verify at the official NPI Registry.