Active NPI
Jeffrey K Mullins, MD
- Urology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 52616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Commonspirit Health at Home - Chattanooga
- Memorial Healthcare System, Inc
- Parkridge Medical Center
- Commonspirit-Memorial Hospital-North Georgia
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 74 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52616 | TN | MD | Urology Physician |
| F448483 | WV | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Urology | Current | Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Urology
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Memorial Health at Home
- Home Health Agency
- Chattanooga, TN
- NPI 1922362144
-
dba Memorial Hospital Hixson
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.