NPIMap

Individual provider Active NPI

Mitchell Andrew Pullias, MD

  • Pediatrics Physician
  • Smyrna, TN
National Provider Identifier
1215926860
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35247 Issued in TN
Practice address
741 President PL
Ste 200
Smyrna, TN 37167-6807
Phone
(615) 459-7104
Fax
(615) 459-7822
NPI assigned
Oct 17, 2005
Last updated
Jan 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35247 TN
Pediatrics Physician 208000000X 35247 TN Primary

Addresses

Primary practice location

741 President PL
Ste 200
Smyrna, TN 37167-6807

Mailing address

741 President PL
Ste 200
Smyrna, TN 37167-6807
Phone (615) 459-7104

Other identifiers 1

IdentifierTypeStateIssuer
3866228MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000025 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2062446644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Medicine and Pediatrics PCGroup PAC ID 7719873934, 11 clinicians

Practice addresses (Care Compare)

741 President PL
Suite 200
Smyrna, TN 37167-6809
Phone (615) 721-9676

741 President Place
Suite 200
Smyrna, TN 37167-6809

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Medicine & Pediatrics PC Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Saint Thomas Rutherford Hospital Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

741 President Pl
Ste 200
Smyrna, TN 37167
Phone (615) 459-7104

Organizations & group practices 6

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 3

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1215926860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-459-7104",
            "fax_number": "615-459-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAS",
        "first_name": "MITCHELL",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35247",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "35247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3866228",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.