Individual provider Active NPI

Jeffrey K Mullins, MD

  • Urology Physician
  • Chattanooga, TN
National Provider Identifier
1508038944
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
52616 Issued in TN
Practice address
725 Glenwood Drive
Suite E790
Chattanooga, TN 37404
Phone
(423) 495-3068
Fax
(423) 495-3022
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F448483 WV
Urology Physician 208800000X 52616 TN Primary

Addresses

Primary practice location

725 Glenwood Drive
Suite E790
Chattanooga, TN 37404

Mailing address

725 Glenwood Drive
Suite E790
Chattanooga, TN 37404
Phone (423) 495-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707000639 TN Practitioner - Urology 4688849870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Cleveland Ave
Chattanooga, TN 37404-2005
Phone (423) 756-7860

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 495-2620

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

725 Glenwood Dr
Chattanooga, TN 37404-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection74
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52616TNMDUrology Physician
F448483WVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc Urology CurrentSince Jul 15, 2015 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jul 15, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

725 Glenwood Dr
Ste E790
Chattanooga, TN 37404
Phone (423) 206-4140

2525 Desales Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 495-3748

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E780
Chattanooga, TN 37404
Phone (423) 697-0072

Interoperability endpoints

  • Direct secure messaging: jmullins133943@direct.stlukeshealth.org

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 5

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1508038944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DRIVE",
            "address_2": "SUITE E790",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-495-3068",
            "fax_number": "423-495-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DRIVE",
            "address_2": "SUITE E790",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-495-3068",
            "fax_number": "423-495-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "F448483",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "52616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.