Theodore M Mueller, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

056152 Issued in GA

Practice address

655 First Street
Macon, GA 31201

Phone

(478) 301-5930

Fax

(478) 301-5932

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Corporation of Mercer University

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1841171998
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1033394390
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1043495302
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1053596312
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1063697324
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1073798336
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1083899348
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1124203484
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1134304496
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1144405408
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1154506418
  NPD (past)
• County of Wake

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1164607420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1538245477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071554",
            "telephone_number": "478-301-4111",
            "fax_number": "478-301-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FIRST STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-301-5930",
            "fax_number": "478-301-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "THEODORE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "056152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00407044",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Motivation Behavioral Services
• Courtney Dianne Moudy, NP
• Darla Daniel Moughon
• Kimberly Moxley, SLP
• Mrs Homecare, Inc.
• Zakiya Renee Muhammad, RBT
• Brittany Muir, BS
• Alie Mulkey
• Madhurya Pavani Mulla, DO, MPH
• Tiffany Mullen

• Psychiatry Physician in Macon, GA
• Providers in Macon, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.