Individual provider Active NPI

Erin M King-Mullins, M.D.

  • Colon & Rectal Surgery Physician
  • Macon, GA
National Provider Identifier
1548410103
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
69480 Issued in GA
Practice address
800 1St St Ste 240
Macon, GA 31201-8308
Phone
(478) 633-6900
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X 69480 GA Primary
Surgery Physician 208600000X 069480 GA

Addresses

Primary practice location

800 1St St Ste 240
Macon, GA 31201-8308

Mailing address

800 1St St Ste 240
Macon, GA 31201-8308
Phone (478) 633-6900

Other names 1

  • Erin M King Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcr@cr6.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140619001970 GA Practitioner - Colorectal Surgery (Proctology) 6103062443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Emory University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

1275 Hwy 54 W
Suite 205
Fayetteville, GA 30214-4538
Phone (770) 325-2275

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069480GAMDSurgery Physician
69480GAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC Surgery CurrentSince Apr 1, 2014 Accepting new patients
City of Hope Medical Group of Georgia LLC Surgery CurrentSince May 25, 2024 Accepting new patients
Colorectal Wellness Center LLC Colon & Rectal Surgery CurrentSince Aug 2, 2022 Accepting new patients
Georgia Colon & Rectall Surgical Associates PC Colon & Rectal Surgery PastSince Apr 1, 2014 Accepting new patients

Locations

1275 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone (770) 325-2275

1260 Highway 54 W
Ste 100
Fayetteville, GA 30214

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: erin.king-mullins.1@26194.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGFDD/Endpoint/GJGFDD
  • Direct secure messaging: ekingmullins185644@cityofhope.direct-ci.com

Organizations & group practices 4

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 3

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1548410103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST ST STE 240",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018308",
            "telephone_number": "478-633-6900",
            "fax_number": "478-633-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST ST STE 240",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018308",
            "telephone_number": "478-633-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-MULLINS",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "69480",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "069480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcr@cr6.gadirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1260 Highway 54 W Ste 100",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302144513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KING",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.