Active NPI
Bennie Joe Mullins Jr., CRNA
- Certified Registered Nurse Anesthetist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2004036293
- Practice address
- 1755 Highway 34 E
Suite 1100
Newnan, GA 30265-5631 - Phone
- (770) 251-2060
- NPI assigned
- Nov 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN113064 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2004036293 | MO | Primary |
Addresses
Primary practice location
1755 Highway 34 E
Suite 1100
Newnan, GA 30265-5631
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917249500 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, AL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Navicent Health Baldwin
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 74.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| University of South Alabama | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Synergy Anesthesiology Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Greenland Anesthesia Management, LLC | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Physician Surgery Center LLC | Past | Accepting new patients | |
| Northland Anesthesiology Inc | Past | Accepting new patients | |
| Digestive Healthcare of Ga, P.C. | Past | Accepting new patients | |
| Anesthesia Services of Eastern Jackson County, P.C. | Past | Accepting new patients | |
| Anesthesia Partners, LTD. | Past | Accepting new patients | |
| Anesthesia Services of Blue Springs | Past | Accepting new patients |
Locations (25 of 29)
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
3870 Medical Park Dr
Ste 100
Austell, GA 30106
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240
1265 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (678) 216-0771
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
4339 Roswell Rd
Marietta, GA 30062
Phone (770) 977-8221
4339 Roswell Rd
Marietta, GA 30062
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510
4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200
4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
Interoperability endpoints
- bennie.mullinscrna.p2@direct.aicaorthopedics.nextgenshare.com
Organizations & group practices 26
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.
-
- Anesthesiology Physician
- Milledgeville, GA
- NPI 1740885383
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1306123336
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1053750646
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1891005989
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1003040502
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1578843280
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1235111428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73709",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713709",
"telephone_number": "770-251-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 34 E",
"address_2": "SUITE 1100",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302655631",
"telephone_number": "770-251-2060"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467694",
"country_code": "US",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "BENNIE",
"middle_name": "JOE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN113064",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2004036293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917249500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.