Individual provider Active NPI

Carol M Mulligan, MD

  • Anesthesiology Physician
  • Savannah, GA
National Provider Identifier
1689725608
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
026003 Issued in GA
Practice address
7208 Hodgson Memorial Dr
Savannah, GA 31406-2512
Phone
(803) 278-2473
Fax
(803) 278-2473
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 026003 GA Primary

Addresses

Primary practice location

7208 Hodgson Memorial Dr
Savannah, GA 31406-2512

Mailing address

PO Box 3330
Augusta, GA 30914-3330
Phone (803) 278-2473

Other identifiers 2

IdentifierTypeStateIssuer
581638217OtherGATAX ID
000276284CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111111000573 GA Practitioner - Anesthesiology 7911171798 Reassigns benefits to 6 organizations
Practice locations: Savannah, GA
I20210820000524 FL Practitioner - Anesthesiology 7911171798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Precision Anesthesia Partners LLCGroup PAC ID 5991193088, 20 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

180 N Park TRL
Suite 100
Stockbridge, GA 30281-7372
Phone (678) 541-5552

4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone 7707021806210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026003GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Partners LLC Anesthesiology CurrentSince May 17, 2023 Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Jul 31, 2023 Accepting new patients
Radius Anesthesia of Georgia LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Feinerman Anesthesia PA Anesthesiology CurrentSince Mar 20, 2024 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Aug 31, 2021 Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Jul 6, 2021 Accepting new patients
Ambulatory Anesthesia Partners LLC Anesthesiology CurrentSince May 13, 2023 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Jul 31, 2023 Accepting new patients
Lighthouse Anesthesia LLC Anesthesiology PastSince Jan 18, 2016 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients
BDT Anesthesia Associates PC Anesthesiology Past Accepting new patients

Locations

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360

2406 Lighthouse Manor Dr
Apt 2406
Gainesville, GA 30501

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

218 Sandy Springs Pl
Sandy Springs, GA 30328
Phone (404) 257-0611

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

180 N Park Trl
Ste 100
Stockbridge, GA 30281

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1689725608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3330",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143330",
            "telephone_number": "803-278-2473",
            "fax_number": "803-278-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062512",
            "telephone_number": "803-278-2473",
            "fax_number": "803-278-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "026003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "581638217",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000276284C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.