Suzanne Elizabeth Mullis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.454 Issued in AL

Practice address

341 Greeno Rd N
Fairhope, AL 36532-2979

Phone

(251) 928-2401

Fax

(251) 928-5099

NPI assigned

Jan 23, 2007

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• Baldwin Health Hospital, Foley, AL, CCN 010083
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smullis@bosm2201.srs-direct.com
• Direct secure messaging: smullis46132@directinfirmaryhealth.org

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.

• Southern Orthopaedic Alliance, PLLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1588364228
  Medicare reassignment Care Compare group NPD
• Bayside Orthopedic & Rehabilitation Center PC

  • Orthopaedic Surgery Physician
  • Fairhope, AL
  • NPI 1215014097
  Medicare reassignment NPD
• Imc -Gulf Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1639753171
  Medicare reassignment NPD
• Bayside Orthopaedic & Rehabilitation Center, P.C.

  • Orthopaedic Surgery Physician
  • Gulf Shores, AL
  • NPI 1265053342
  NPD
• Imc -Gulf Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Foley, AL
  • NPI 1437858636
  NPD
• Southern Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1093561896
  NPD

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

• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1386798502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley O'Conor Morgan
• Caroline Morris, PMHNP
• Andrea Marie Morrison, LPC
• Wanda L. Morrison, OT
• Grace Taylor Mueller
• Shannon Munday
• Christopher Murphree, PHD
• Misty James Murphy, RN/MSN
• Lori Ann Myers, M.D.
• N Bruce Blaum DMD Magd LLC

• Physician Assistant in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.