Megan McDaniel Mullican, FAAA, CC-A, MS

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0622 Issued in MS

Practice address

1605 S 28TH Ave
Hattiesburg, MS 39402-3110

Phone

(601) 579-3310

Fax

(601) 264-0231

NPI assigned

Mar 31, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1245402247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-5463",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023110",
            "telephone_number": "601-579-3310",
            "fax_number": "601-264-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "MEGAN",
        "middle_name": "MCDANIEL",
        "credential": "FAAA, CC-A, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A0622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00791976",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ms Methodist Hospital & Rehabilitation Center
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• Mt. Olive Baptist Church
• Waqar Arshad Mughal, M.B.,B.S.
• Sourabh Mukherjee, MD
• Mullins Speech Therapy, LLC
• Debra Broome Mullins, MSCCCSLP
• Steven Kyle Mullins, CCC-SLP
• Teresa Gayle Mulvihill, M.D.
• Olivia Mummert

• Audiologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.