Individual provider Active NPI

Katherine Leigh Mullins, M.D.

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1750589347
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46532 Issued in TN
Practice address
5339 Elvis Presley Blvd
Resurrection Health
Memphis, TN 38116-8243
Phone
(901) 271-9500
Fax
(901) 271-9501
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46532 TN Primary

Addresses

Primary practice location

5339 Elvis Presley Blvd
Resurrection Health
Memphis, TN 38116-8243

Mailing address

5339 Elvis Presley Blvd
Memphis, TN 38116-8243
Phone (901) 271-9500

Other identifiers 1

IdentifierTypeStateIssuer
1519807MedicaidTN

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000949 TN Practitioner - Family Practice 6901090976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

3889 Park Ave
Memphis, TN 38111-6634
Phone (901) 401-7140

Hospital & facility affiliations

  • Amedisys Home Care Home health agency, Memphis, TN, CCN 447538
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46532TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Mi Physicians Group, PC CurrentSince Apr 12, 2021 Accepting new patients
Cherokee Health Systems Family Medicine CurrentSince Jun 27, 2016 Accepting new patients
Cherokee Health Systems CurrentSince Jun 27, 2016 Accepting new patients
Osh-Mi Physicians Group PC Family Medicine PastSince Apr 12, 2021 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC Family Medicine PastSince Jul 17, 2022 Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

4095 American Way
Ste 1
Memphis, TN 38118
Phone (901) 271-9500

5339 Elvis Presley Blvd
Memphis, TN 38116
Phone (901) 271-9500

3889 Park Ave
Memphis, TN 38111
Phone (901) 401-7140

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1750589347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168243",
            "telephone_number": "901-271-9500",
            "fax_number": "901-271-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 ELVIS PRESLEY BLVD",
            "address_2": "RESURRECTION HEALTH",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168243",
            "telephone_number": "901-271-9500",
            "fax_number": "901-271-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KATHERINE",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.