Active NPI
Sylvia J Mullis, MD
- Family Medicine Physician
- Greenville, NC
National Provider Identifier
1386601771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M38815
- Practice address
- 1711 E Arlington Blvd
Greenville, NC 27858-5872 - Phone
- (252) 355-4357
- Fax
- (252) 355-0827
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M38815 | NC | Primary |
Addresses
Primary practice location
1711 E Arlington Blvd
Greenville, NC 27858-5872
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7961320 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M38815 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1386601771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585872",
"telephone_number": "252-355-4357",
"fax_number": "252-355-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIS",
"first_name": "SYLVIA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "M38815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7961320",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
- Robert D Mull
- Gary John Mullen Jr., MD
- Elizabeth Reid Mullett, OD
- Kirstin Mullins
- Stephen Christopher Mullins, MD
- Multi-Care Home Services, Inc. (Multi-Care Home Care Services, Inc.)
- Savannah Gray Mumford, OTR/L
- Yoga Veda Jyothi Munagapati
- Eugenia Alejandra Mundarain Herrera, APRN
- Kalyan Srinivas Muppavarapu, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.