NPIMap

Individual provider Active NPI

Craig McMullen, M.D.

  • Family Medicine Physician
  • Mineola, TX
National Provider Identifier
1487614616
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6742 Issued in TX
Practice address
1220 N Pacific St
Mineola, TX 75773-1054
Phone
(903) 569-6124
Fax
(903) 567-2467
NPI assigned
Mar 23, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6742 TX Primary

Addresses

Primary practice location

1220 N Pacific St
Mineola, TX 75773-1054

Mailing address

1220 N Pacific St
Mineola, TX 75773-1054
Phone (903) 569-6124

Other practice location 1

305 Cottage Rd
Carthage, TX 75633-1511
Phone (903) 694-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051109001123 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5698793438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quitman Hospital LLCGroup PAC ID 9133484330, 29 clinicians

Practice addresses (Care Compare)

1220 N Pacific St
Mineola, TX 75773-1054
Phone (903) 569-6124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Quitman Hospital LLC CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Quitman Hospital LLC CurrentSince Mar 1, 2018 Accepting new patients
Starks Medical Past Accepting new patients
Quitman Hospital LLC Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

406 E State Highway 243
Canton, TX 75103
Phone (903) 567-4784

305 Cottage Rd
Carthage, TX 75633
Phone (903) 690-9100

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

702 Davis St
Carthage, TX 75633
Phone (903) 693-3841

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

1220 N Pacific St
Mineola, TX 75773
Phone (903) 569-0610

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

Interoperability endpoints

  • Direct secure messaging: cmcmullen355510@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1487614616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731054",
            "telephone_number": "903-569-6124",
            "fax_number": "903-567-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731054",
            "telephone_number": "903-569-6124",
            "fax_number": "903-567-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TX",
            "postal_code": "756331511",
            "country_code": "US",
            "telephone_number": "903-694-4948",
            "fax_number": "903-694-4671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, TX

Sources for this page

Verify at the official NPI Registry.