Olivia F Mulligan, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

19973 Issued in GA

Practice address

2121 Fountain Drive
Suite F
Snellville, GA 30078-2900

Phone

(770) 979-4236

Fax

(770) 979-4401

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olivia M Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Badar H Syed MD, PC

  • Specialist
  • Snellville, GA
  • NPI 1679761241
  NPD (past)
• Eastside Endocrine, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Snellville, GA
  • NPI 1811184245
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1184728255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DRIVE",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782900",
            "telephone_number": "770-979-4236",
            "fax_number": "770-979-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DRIVE",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782900",
            "telephone_number": "770-979-4236",
            "fax_number": "770-979-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "OLIVIA",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "19973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00160619C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "MOORE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mountainview Eye Associates, P.C.
• Zoha Muhammad, RBT
• Lois Muir-McClain, M.A., LPC
• Taslyne Julia Muir
• Mukesh R Patel MD PC
• Judith A Mullowney-Postema, CNA
• Tiffani Noell Murff, RD,LD
• Audrey Murphree, RBT
• Alexis Murphy, RBT
• Madelyn Murphy, PA-C

• Endocrinology, Diabetes & Metabolism Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.