Alexandra Marie Mullin, PA-C

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

0110-006156 Issued in VA

Practice address

2400 E Parham Rd
Henrico, VA 23228-3119

Phone

(423) 260-0655

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: alexandra.mullin.1@18728.direct.athenahealth.com
• Direct secure messaging: alexandra.mullin@488678167609348.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partners in Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
  • NPI 1780030445
  Medicare reassignment

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1710475033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT PKWY APT 1224",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232352060",
            "telephone_number": "423-260-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232283119",
            "telephone_number": "423-260-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "VA",
            "postal_code": "224279401",
            "country_code": "US",
            "telephone_number": "423-260-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Appomattox",
            "state": "VA",
            "postal_code": "245224501",
            "country_code": "US",
            "telephone_number": "423-260-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0110-006156",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0110-006156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie T. Mowrey, PHARM.D.
• Ying Chen Moyer, DO
• Msas Transportation LLC
• Mohammad Shiraz Muhseni
• Avik Mukherjee, M.D.
• Stephanie Mullsteff, LPC
• Andrew D. Munro, MD
• Jennifer Michelle Murphy
• Shamya Murray, RBT
• Judith C. Musgrave, LPC

• Geriatric Medicine (Internal Medicine) Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.