Magen Mullinix, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1117 Issued in KY

Practice address

346 Central Ave
Bowling Green, KY 42101-7512

Phone

(270) 222-3851

Fax

(833) 673-0436

NPI assigned

Mar 15, 2007

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

Other identifiers 1

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: magen.mullinix.3@14940.direct.athenahealth.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hope Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Westmoreland, TN
  • NPI 1942337183

  Corporate Officer

  CMS ownership

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.

• Hope Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Westmoreland, TN
  • NPI 1942337183
  Medicare reassignment
• MH Health Care Services, PC

  • Nurse Practitioner
  • Bowling Green, KY
  • NPI 1568077444
  NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD (past)
• Crossville Medical Group PA

  • Multi-Specialty Clinic/Center
  • Crossville, TN
  • NPI 1053414698
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750415691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 GOSHEN RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229654",
            "telephone_number": "615-388-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 CENTRAL AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017512",
            "telephone_number": "270-222-3851",
            "fax_number": "833-673-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIX",
        "first_name": "MAGEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1118",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508213",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Michael Mudd
• Gary Mueller, M.D.
• Ariel Jade Mujakovic
• Sam Mullaney
• Mrinal Mullick, M.D.
• Teresa Lynn Mullins, CSA
• Ashlea Munday, RBT
• Munef Medical Trans LLC
• Shannon Murl
• Ashley Danielle Murphy

• Physician Assistant in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.