Individual provider Active NPI

Hannah Mulkey, PA-C

  • Urology Physician
  • Evans, GA
National Provider Identifier
1710528005
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9495 Issued in GA
Practice address
4350 Towne Centre Dr Ste 2200
Evans, GA 30809-3346
Phone
(706) 722-0705
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9495 GA Primary

Addresses

Primary practice location

4350 Towne Centre Dr Ste 2200
Evans, GA 30809-3346

Mailing address

4350 Towne Centre Dr Ste 2200
Evans, GA 30809-3346
Phone (706) 722-0705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmulkey@augustaurology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9495GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Urology Associates, LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

4350 Towne Centre Dr
Ste 2200
Evans, GA 30809
Phone (706) 722-0705

Organizations & group practices 1

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1710528005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093346",
            "telephone_number": "706-722-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093346",
            "telephone_number": "706-722-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "9495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmulkey@augustaurology.com",
            "affiliation": "N",
            "address_1": "4350 Towne Centre Dr Ste 2200",
            "city": "Evans",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308093346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.