Individual provider Active NPI

Thomas Corbin Mullis, MD

  • Otolaryngology Physician
  • Dublin, GA
National Provider Identifier
1174743918
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
060771 Issued in GA
Practice address
102 Fairview Park Dr
Dublin ENT Associates
Dublin, GA 31021-2500
Phone
(478) 272-8382
Fax
(478) 275-1964
NPI assigned
Apr 26, 2007
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 19375 MS
Otolaryngology Physician 207Y00000X 060771 GA Primary

Addresses

Primary practice location

102 Fairview Park Dr
Dublin ENT Associates
Dublin, GA 31021-2500

Mailing address

102 Fairview Park Dr
Dublin ENT Associates
Dublin, GA 31021-2500
Phone (478) 272-8382

Other identifiers 1

IdentifierTypeStateIssuer
629296052AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000157 GA Practitioner - Otolaryngology 4688746613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dublin Ear Nose and Throat Associates, P.C.Group PAC ID 3779653654, 4 clinicians

Practice addresses (Care Compare)

102 Fairview Park Dr
Dublin, GA 31021-2500
Phone (478) 272-8382

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19375MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Ear Nose and Throat Associates, P.C. Otolaryngology CurrentSince Aug 1, 2008 Accepting new patients
Hearing Center at Dublin ENT CurrentSince Nov 24, 2024 Accepting new patients

Locations

102 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-8382

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1174743918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW PARK DR",
            "address_2": "DUBLIN ENT ASSOCIATES",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212500",
            "telephone_number": "478-272-8382",
            "fax_number": "478-275-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW PARK DR",
            "address_2": "DUBLIN ENT ASSOCIATES",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212500",
            "telephone_number": "478-272-8382",
            "fax_number": "478-275-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "THOMAS",
        "middle_name": "CORBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "19375",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "060771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "629296052A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.