John David Mullins, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

20782 Issued in GA

Legal business name

JOHN DAVID MULLINS, MD, PC

Practice address

35 Collier Rd NW Ste 675
Atlanta, GA 30309-1612

Phone

(404) 355-9255

Fax

(404) 355-5822

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Danita McKay

Title

Billing Manager

Phone

(404) 355-9255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Mullins, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1568595478
  Medicare reassignment NPD

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1649540931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 675",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091612",
            "telephone_number": "404-355-9255",
            "fax_number": "404-355-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 675",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091612",
            "telephone_number": "404-355-9255",
            "fax_number": "404-355-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID MULLINS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "DANITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-355-9255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "20782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.