Active NPI
Stephen Christopher Mullins, MD
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 028829
- Practice address
- 2100 Stantonsburg Rd
Greenville, NC 27834-2818 - Phone
- (252) 847-4231
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 028829 | GA | Primary |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 028829 | GA |
Addresses
Primary practice location
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Mailing address
14275 Midway Rd.
Ste. 400
Augusta, GA 30909-4332
Phone (706) 774-5430
Other practice location 1
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5430
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825525 | Other | GA | BCBS OF GEORGIA |
| 128132 | Medicaid | SC | |
| 52285006 | Other | GA | BCBS OF GA |
| L00129 | Other | SC | MEDICAID OF SOUTH CAROLIN |
| 000385316B | Medicaid | GA | |
| 690009436 | Other | GA | MEDICARE RAILROAD |
| 00116498A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2889 | GA | MD | Optician |
| 12813 | SC | MD | Pharmacist |
| 028829 | GA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Nuclear Medicine and Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, GA
- NPI 1760454318
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1710030481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD.",
"address_2": "STE. 400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309094332",
"telephone_number": "706-774-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STANTONSBURG RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342818",
"telephone_number": "252-847-4231"
}
],
"practiceLocations": [
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012612",
"country_code": "US",
"telephone_number": "706-774-5430",
"fax_number": "706-774-5096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "STEPHEN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "028829",
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "GA",
"license": "028829",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GEORGIA",
"identifier": "825525",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128132",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "52285006",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF SOUTH CAROLIN",
"identifier": "L00129",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000385316B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "690009436",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116498A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.