Kyle Dean Mullins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6007 Issued in MA

Practice address

225 S 11TH St Ste 101
Nashville, TN 37206-3131

Phone

(615) 469-1065

NPI assigned

Dec 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.mullins.1@17956.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17956/brand/1/csg/1/fhir/r4

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.

• Music City Physicians Group PLLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1740915719
  NPD
• Music City Prep Clinic

  • Infectious Disease Physician
  • Nashville, TN
  • NPI 1912676461
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1326582552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 11TH ST STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063131",
            "telephone_number": "615-469-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 11TH ST STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063131",
            "telephone_number": "615-469-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 28th Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372094001",
            "country_code": "US",
            "telephone_number": "615-469-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KYLE",
        "middle_name": "DEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6007",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Christine Mullins, APRN, WHNP-BC
• Grace Mullins, LMFT
• Haley Anne Mullins, PA
• Jessica Mullins
• Judith Mullins
• Leslie Vicky Mullins, PAC
• W. Michael Mullins, MD
• Brittany Mulloy, AGACNP-BC
• Mary Katherine Mulloy, N.P.
• Alyse Marie Mulvaney

• Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.