Scarlett C Mulligan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1475 Issued in TN

Practice address

980 Professional Park Dr
Suite a
Clarksville, TN 37040-5251

Phone

(931) 905-1001

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novus Behavioral HealthGroup PAC ID 3173854759, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Novus Behavioral Health

  • Physician Assistant
  • Clarksville, TN
  • NPI 1770078040
  Medicare reassignment Care Compare group Authorized official
• Moore Life Healthcare, PC

  dba Moore Life Urgent Care

  • Urgent Care Clinic/Center
  • Gallatin, TN
  • NPI 1760877419
  Medicare reassignment
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Physician Assistant

  NPD
• Tennessee Urgent Care Associates, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1548258825

  Physician Assistant

  NPD (past)
• Wise Mind TX

  dba Killeen Psychiatry

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1851152383
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1679628713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BOYD RINEHART RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438755",
            "telephone_number": "931-206-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 PROFESSIONAL PARK DR",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405251",
            "telephone_number": "931-905-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "SCARLETT",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Muiznieks, MD
• Nicholas Robert Muiznieks
• Ebony Leann Mullen, MD
• Jeannette Muller, MS
• Iquerria Mullgrav
• Michelle Mullins
• Holly Ann Munoz, BA
• Mikaela Marie Murillo
• Brenden Murphy
• Destiny Alena Murphy

• Physician Assistant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.