Individual provider Active NPI

Calin Mullins, FNP-C

  • Family Nurse Practitioner
  • Clinton, MS
National Provider Identifier
1780495895
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907175 Issued in MS
Practice address
815 Highway 80 E
Clinton, MS 39056-5252
Phone
(601) 910-3004
Fax
(601) 910-3005
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907175 MS Primary

Addresses

Primary practice location

815 Highway 80 E
Clinton, MS 39056-5252

Mailing address

815 Highway 80 E
Clinton, MS 39056-5252
Phone (601) 910-3004

Other practice location 1

1659 Lelia Dr
Jackson, MS 39216-4818
Phone (601) 910-3004

Other names 1

  • Calin Holley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20250314003459 MS Practitioner - Nurse Practitioner 7719409184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Dermatology, PLLCGroup PAC ID 0749576031, 11 clinicians

Practice addresses (Care Compare)

815 Hwy 80 E
Clinton, MS 39056-5252
Phone (601) 910-3004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Dermatology, PLLC CurrentSince Mar 3, 2025 Accepting new patients
Optical 2000 PastSince Jan 19, 2025 Accepting new patients

Locations

815 Highway 80 E
Clinton, MS 39056
Phone (601) 910-3004

1659 Lelia Dr
Jackson, MS 39216
Phone (601) 910-3004

Organizations & group practices 2

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1780495895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565252",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565252",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1659 Lelia Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164818",
            "country_code": "US",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "CALIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALIN",
            "last_name": "HOLLEY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.