Individual provider Active NPI

Malena T Mullins, NP-C

  • Family Nurse Practitioner
  • Norton, VA
National Provider Identifier
1427299486
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168247 Issued in VA
Practice address
338 Coeburn Ave SW
Norton, VA 24273-2606
Phone
(276) 679-0800
Fax
(276) 679-0097
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35752 TN
Family Nurse Practitioner 363LF0000X 0024168247 VA Primary

Addresses

Primary practice location

338 Coeburn Ave SW
Norton, VA 24273-2606

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

1490 Park Ave NW Ste 5
Norton, VA 24273-1631
Phone (276) 679-0252

Other practice location 2

200 Med Tech Pkwy Ste 108
Johnson City, TN 37604-2278
Phone (423) 915-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090527000085 VA Practitioner - Nurse Practitioner 6608924808 Reassigns benefits to 2 organizations
I20240429001547 TN Practitioner - Nurse Practitioner 6608924808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Community Physician Services LLC CurrentSince Jun 29, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 11, 2024 Accepting new patients
Wellmont Health System Current Accepting new patients
Norton Community Physician Services LLC CurrentSince Jun 29, 2025 Accepting new patients
St. Charles Health Council Inc Current Accepting new patients
St Charles Health Council Inc CurrentSince Feb 28, 2015 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 11, 2024 Accepting new patients
St Charles Health Council Inc CurrentSince Feb 28, 2015 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

200 Med Tech Pkwy
Ste 108
Johnson City, TN 37604
Phone (423) 915-5033

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

276 Fieldstone Dr
Jonesville, VA 24263
Phone (276) 546-3001

1490 Park Ave NW
Ste 5
Norton, VA 24273
Phone (276) 439-1440

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

185 Redwood Ave
Ste 102
Pennington Gap, VA 24277
Phone (276) 546-5310

Interoperability endpoints

  • Direct secure messaging: mmullins81444@balladhealth.medalliesdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1427299486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 COEBURN AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732606",
            "telephone_number": "276-679-0800",
            "fax_number": "276-679-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Park Ave NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731631",
            "country_code": "US",
            "telephone_number": "276-679-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Med Tech Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042278",
            "country_code": "US",
            "telephone_number": "423-915-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MALENA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.