Individual provider Active NPI

David L Mullins, ACNP-BC

  • Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1427368943
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN15251 Issued in TN
Practice address
2414 Chambliss Ave NW
Cleveland, TN 37311-3879
Phone
(423) 250-5864
Fax
(423) 250-5412
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP166076 GA
Nurse Practitioner 363L00000X APN15251 TN Primary

Addresses

Primary practice location

2414 Chambliss Ave NW
Cleveland, TN 37311-3879

Mailing address

2414 Chambliss Ave NW
Cleveland, TN 37311-3879
Phone (423) 250-5864

Other practice location 1

2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435

Other identifiers 1

IdentifierTypeStateIssuer
Q006937MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20110127000341 TN Practitioner - Nurse Practitioner 1557540259 Reassigns benefits to 2 organizations
I20240102000401 GA Practitioner - Nurse Practitioner 1557540259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP166076GAMDNurse Practitioner
APN15251TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC CurrentSince Aug 1, 2024 Accepting new patients
Hamilton Physician Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2414 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 250-5864

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

Interoperability endpoints

  • Direct secure messaging: david.mullins.1@31613.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1427368943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-250-5864",
            "fax_number": "423-250-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-250-5864",
            "fax_number": "423-250-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043230",
            "country_code": "US",
            "telephone_number": "423-698-2435",
            "fax_number": "423-697-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP166076",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN15251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006937",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.