Active NPI
Karla Mullis Hitt, MSPT
- Physical Therapist
- Lavonia, GA
National Provider Identifier
1417466640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5850
- Practice address
- 367 Clear Creek Pkwy
Lavonia, GA 30553-4173 - Phone
- (770) 900-7454
- NPI assigned
- Sep 20, 2017
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT005850 | GA | |
| Physical Therapist | 225100000X | PT5850 | GA | Primary |
Addresses
Primary practice location
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Mailing address
147 Shamus Way
Jefferson, GA 30549-7645
Phone (770) 900-7454
Other names 1
- Miss Mandye Karla Mullis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5850 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1417466640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SHAMUS WAY",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "305497645",
"telephone_number": "770-900-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 CLEAR CREEK PKWY",
"city": "LAVONIA",
"state": "GA",
"postal_code": "305534173",
"telephone_number": "770-900-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITT",
"first_name": "KARLA",
"middle_name": "MULLIS",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "PT005850",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT5850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDYE",
"last_name": "MULLIS",
"middle_name": "KARLA",
"prefix": "MISS",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lavonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.