Individual provider Active NPI

Roy Curtis Mullins, D.C.

  • Sports Physician Chiropractor
  • Austin, TX
National Provider Identifier
1467518548
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5578 Issued in TX
Practice address
8517 Cobblestone
609 Castle Ridge Rd. Suite 330
Austin, TX 78735-7906
Phone
(512) 327-2729
Fax
(512) 328-5114
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5578 TX Primary

Addresses

Primary practice location

8517 Cobblestone
609 Castle Ridge Rd. Suite 330
Austin, TX 78735-7906

Mailing address

8517 Cobblestone
Austin, TX 78735-7906
Phone (512) 327-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000777 TX Practitioner - Chiropractic 2961558598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 462-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5578TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 13, 2022 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

4303 Victory Dr
Austin, TX 78704

351 Cypress Creek Rd
Ste 100
Cedar Park, TX 78613
Phone (512) 258-5533

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

3811 Bee Caves Rd
Ste 101
West Lake Hills, TX 78746
Phone (512) 443-3500

Interoperability endpoints

  • Direct secure messaging: roy.mullins.1@8042.direct.athenahealth.com

Organizations & group practices 2

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1467518548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 COBBLESTONE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787357906",
            "telephone_number": "512-327-2729",
            "fax_number": "512-328-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 COBBLESTONE",
            "address_2": "609 CASTLE RIDGE RD. SUITE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787357906",
            "telephone_number": "512-327-2729",
            "fax_number": "512-328-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ROY",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "5578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.