NPIMap

Individual provider Active NPI

Aaron Mitchell Mullane, M.D.

  • Orthopaedic Surgery Physician
  • Columbus, MS
National Provider Identifier
1396279550
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29669 Issued in MS
Practice address
670 Leigh Dr
Columbus, MS 39705-3014
Phone
(662) 328-1012
Fax
(662) 328-1507
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29669 MS Primary

Addresses

Primary practice location

670 Leigh Dr
Columbus, MS 39705-3014

Mailing address

670 Leigh Dr
Columbus, MS 39705-3014
Phone (626) 328-1012

Other practice location 1

1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 354-4488

Other identifiers 1

IdentifierTypeStateIssuer
200003901MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817001110 MS Practitioner - Orthopedic Surgery 3072996412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.02 of 100Reported as group
Quality
38.91
Promoting interoperability
82
Improvement activities
40
Cost
86.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement61
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Columbus Orthopaedic Clinic, P.a. Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery CurrentSince Jul 25, 2022 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients

Locations

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

4 Professional Plz
Starkville, MS 39759
Phone (662) 323-3684

225 Tomlinson Dr
Starkville, MS 39759
Phone (662) 328-1012

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1396279550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "626-328-1012",
            "fax_number": "662-328-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-328-1012",
            "fax_number": "662-328-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 E Fortification St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022442",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "fax_number": "601-351-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANE",
        "first_name": "AARON",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "29669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003901",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.