Individual provider Active NPI

Derek R Mullinix, MD

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1689628323
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38645 Issued in TN
Practice address
3091 Kirby Whitten Pkwy
Bartlett, TN 38134
Phone
(901) 752-6963
Fax
(901) 759-4704
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38645 TN Primary

Addresses

Primary practice location

3091 Kirby Whitten Pkwy
Bartlett, TN 38134

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000756 TN Practitioner - Family PracticePractitioner - Emergency Medicine 6305733908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMG Family Physicians Group Foundation IncGroup PAC ID 1557508983, 21 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

3091 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 260-9303

4625 Poplar Ave
Memphis, TN 38117-4419
Phone (901) 260-9307

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

7685 Winchester Rd
Suite 100
Memphis, TN 38125-2202
Phone (901) 260-9301

8040 Wolf River Blvd
Suite 103
Germantown, TN 38138-1773
Phone (901) 726-0200

Hospital & facility affiliations

  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
74.9
Promoting interoperability
100
Improvement activities
40
Cost
77.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BMG Family Physicians Group Foundation, Inc Family Medicine CurrentSince Apr 17, 2013 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Oct 1, 2022 Accepting new patients
Hub City Emergency Physicians LLC Past Accepting new patients
Shiloh Emergency Physicians LLC Past Accepting new patients
Beechlake Emergency Physicians Past Accepting new patients
The Camellia Foundation Family Medicine PastSince Sep 7, 2011 Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients
Medicos General PLLC Family Medicine PastSince Aug 4, 2010 Accepting new patients
Memphis Emergency Room Group, PLLC Past Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients
Family Physicians Group PC Family Medicine Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

8110 Cordova Rd
Ste 111
Cordova, TN 38016

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

7685 Winchester Rd
Ste 100
Memphis, TN 38125
Phone (901) 260-9301

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

4625 Poplar Ave
Memphis, TN 38117
Phone (901) 227-4020

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1689628323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 KIRBY WHITTEN PKWY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-752-6963",
            "fax_number": "901-759-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIX",
        "first_name": "DEREK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.