Earl Nicholas Mullis Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31999 Issued in GA

Practice address

380 Hospital Dr Ste 320
Macon, GA 31217-8007

Phone

(478) 750-8606

NPI assigned

Jul 11, 2006

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

Other identifiers 1

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

Specialty

General Surgery

Education

Mercer University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Regency Hospital Company of Macon, LLC Long-term care hospital, Macon, GA, CCN 112016

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: earl.mullis@msas.eclinicaldirectplus.com

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.

• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  Medicare reassignment Care Compare group NPD
• Regency Hospital Company of Macon LLC

  • Long Term Care Hospital
  • Macon, GA
  • NPI 1447252044
  Medicare reassignment NPD
• Regency Hospital Company of Macon LLC

  • Hospitalist Physician
  • Macon, GA
  • NPI 1003180357
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  dba Piedmont Macon Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Regency Hospital Company of Macon LLC

  • Long Term Care Hospital
  • Macon, GA
  • NPI 1447252044

  Long-term care hospital

  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1215962170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LAGRANGE PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101473",
            "telephone_number": "478-746-2770",
            "fax_number": "478-746-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR STE 320",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178007",
            "telephone_number": "478-750-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 High St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012007",
            "country_code": "US",
            "telephone_number": "478-746-2770",
            "fax_number": "478-746-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "EARL",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "31999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004302C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhurya Pavani Mulla, DO, MPH
• Tiffany Mullen
• Mark Mullinax, PHARM.D
• Athena Jmullins Mullins, PA-AA
• Ashley Souza Mullis, NP
• Jonathan T Mullis, PA-C
• Joshua Mullis, NP-C
• Lori Beecher Mullis, FNP-C
• Maegan Griffin Mullis, FNP-C
• Aliesha Mumford

• Surgery Physician in Macon, GA
• Providers in Macon, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.