Active NPI
Timothy Houston Mullican, DO
- Hospitalist Physician
- Chattanooga, TN
National Provider Identifier
1215632377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4629
- Practice address
- 975 E 3Rd St # 112
Chattanooga, TN 37403-2173 - Phone
- (423) 778-2998
- NPI assigned
- Mar 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4629 | AL | Primary |
Addresses
Primary practice location
975 E 3Rd St # 112
Chattanooga, TN 37403-2173
Mailing address
1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 973-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230613003646 | TN | Order and Referring Only - Internal Medicine | 4486012077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1215632377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013337",
"telephone_number": "256-973-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E 3RD ST # 112",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032173",
"telephone_number": "423-778-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLICAN",
"first_name": "TIMOTHY",
"middle_name": "HOUSTON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "4629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.