Nachel LLC
Organization Active NPI Gerontology Nurse Practitioner · Cochran, GA
NPI 1669321303 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1669321303
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- Legal business name
- NACHEL LLC
- Practice address
- 251 Elizabeth St
Cochran, GA 31014-1230 - Phone
- (478) 697-0633
- NPI assigned
- Jan 26, 2026
- Organization subpart
- No
Authorized official
- Name
- Mrs. Laura Dubois Mullis, FNP
- Title
- FNP
- Phone
- (478) 697-0633
Practitioners 2
-
Laura Mullis, APRN
-
Amanda R. White, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260402001515 | GA | Part B Supplier - Clinic/Group Practice | 8921583337 |
Receives reassigned benefits from 2 practitioners Practice locations: Cochran, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | Yes |
Addresses
Primary practice location
251 Elizabeth St
Cochran, GA 31014-1230
Mailing address
251 Elizabeth St
Cochran, GA 31014-1230
Phone (478) 697-0633
NPI Registry JSON
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1669321303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 ELIZABETH ST",
"city": "COCHRAN",
"state": "GA",
"postal_code": "310141230",
"telephone_number": "478-697-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 ELIZABETH ST",
"city": "COCHRAN",
"state": "GA",
"postal_code": "310141230",
"telephone_number": "478-697-0633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NACHEL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "MULLIS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "DUBOIS",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "478-697-0633",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cochran, GA
- Tara Thompson Moore
- Lucian Clement Moseley
- Irianna Moss
- Eric Anthony Muhammad
- Lynn Baxter Mullis
- Amber Nash
- Oconee River Emergency Physicians LLC
- Mark Gregory Pam
- Traci Anne Paulk
- Maggie Floyd Payne
All providers in Cochran, GA · Gerontology Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.