Jeffrey Bryan Mullins, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000000593 Issued in TN

Practice address

1120 N Ocoee St
Cleveland, TN 37311-4475

Phone

(423) 614-8462

Fax

(423) 614-8438

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lee University

  dba Lee University Developmental Inclusion Classrooms (LUDIC)

  • Behavior Analyst
  • Cleveland, TN
  • NPI 1194100727
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1144878448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 20TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111522",
            "telephone_number": "423-364-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373114475",
            "telephone_number": "423-614-8462",
            "fax_number": "423-614-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JEFFREY",
        "middle_name": "BRYAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Eugene Muegge, OD
• Kelsey Mullen, AUD, CCC-A
• Christopher Noel Mullin, M.D.
• Danielle Mullins, ATC
• David L Mullins, ACNP-BC
• Brittani P Munck
• Lisa Munoz
• Daniel Murch
• Billy Howard Murphy, M.D,
• David Bruce Murray, PT

• Athletic Trainer in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.