NPIMap

Individual provider Active NPI

Christopher Noel Mullin, M.D.

  • Obstetrics & Gynecology Physician
  • Cleveland, TN
National Provider Identifier
1598738023
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD29312 Issued in TN
Practice address
2301 N Ocoee St
Cleveland, TN 37311-3863
Phone
(423) 339-1400
Fax
(423) 339-9950
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD29312 TN Primary

Addresses

Primary practice location

2301 N Ocoee St
Cleveland, TN 37311-3863

Mailing address

2301 N Ocoee St
Cleveland, TN 37311-3863
Phone (423) 339-1400

Other identifiers 1

IdentifierTypeStateIssuer
3814231MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110510000569 TN Practitioner - Obstetrics/Gynecology 5294793063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Memphis Hospital Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2301 N Ocoee St
Suite a
Cleveland, TN 37311-3869
Phone (423) 339-1400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecircle Womens Health Care PC CurrentSince Jul 24, 2000 Accepting new patients
Lifecircle Womens Health Care PC CurrentSince Jul 24, 2000 Accepting new patients
Anesthesia Alliance Solutions PastSince Nov 1, 2018 Accepting new patients
Mercy Physician Services, LLC Past Accepting new patients
Cleveland Tennessee Hospital Company LLC Past Accepting new patients
Bradley Medical Center, LLC Past Accepting new patients
Womens Center of East Tennessee PC PastSince Apr 29, 2022 Accepting new patients

Locations

2301 N Ocoee St
Ste A
Cleveland, TN 37311
Phone (423) 322-6399

2301 N Ocoee St
Cleveland, TN 37311
Phone (423) 339-1400

Interoperability endpoints

  • Direct secure messaging: cmullin@lifecircle.gwaydirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lifecircle Women'S HealthcareAthens, TN, CCN 448970 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Jul 24, 2000
Jul 24, 2000
Jul 24, 2000
Jul 24, 2000
Jul 24, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Lifecircle Womens Health Care PC
    • Rural Health Clinic/Center
    • Athens, TN
    • NPI 1790423457

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Organizations & group practices 7

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 2

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1598738023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "NOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD29312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814231",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.