Mullins Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

7929 Issued in SC

Legal business name

MULLINS SURGERY CENTER

Practice address

119 W Lowman St
119 West Lowman Street
Mullins, SC 29574-3107

Phone

(843) 464-4000

Fax

(843) 464-4017

NPI assigned

Apr 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parakkat Gopalakrishnan, MDNPI 1629004049

Title

Surgeon

Phone

(843) 464-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parakkat Gopalakrishnan, MD

  • Surgery Physician
  • Mullins, SC
  • NPI 1629004049
  Authorized official Same address or phone

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619930518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "address_2": "119 WEST. LOWMAN STREET",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295741014",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W LOWMAN ST",
            "address_2": "119 WEST LOWMAN STREET",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743107",
            "telephone_number": "843-464-4000",
            "fax_number": "843-464-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "PARAKKAT",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "843-464-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP079293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell E. Falk DC (Spinal Care CTR-Mullins)
• Mobility Works Therapy Services, LLC
• Tiwana Morris
• Mullins Discount Drug, Inc
• Mullins Hospitalist Group, LLC
• Mulllins School District Two
• Amy P Murrell, MD
• Myers Podiatry Clinic
• Brittany Shanae Nelson
• Najada Nelson

• Specialist in Mullins, SC
• Providers in Mullins, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.