Individual provider Active NPI

Ashley Souza Mullis, NP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1851087365
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN279230 Issued in GA
Practice address
610 3Rd St Ste 101
Macon, GA 31201-3293
Phone
(478) 464-2600
Fax
(478) 238-8501
NPI assigned
Apr 17, 2023
Last updated
Oct 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

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 RN279230 GA Primary

Addresses

Primary practice location

610 3Rd St Ste 101
Macon, GA 31201-3293

Mailing address

610 3Rd St Ste 101
Macon, GA 31201-3293
Phone (478) 464-2600

Other names 1

  • Ashley Nicole Souza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250707002340 GA Practitioner - Nurse Practitioner 2163936832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Central Ga LLCGroup PAC ID 6901702059, 17 clinicians

Practice addresses (Care Compare)

6103 Rd St
Suite 202
Macon, GA 31201-3262
Phone (478) 464-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN279230GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Central Ga, LLC CurrentSince Jun 26, 2025 Accepting new patients
Synergetic Healings LLC PastSince Jun 26, 2025 Accepting new patients

Locations

260 W Clinton St
Ste 3
Gray, GA 31032
Phone (478) 607-2514

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

610 3rd St
Ste 101
Macon, GA 31201

610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1851087365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-464-2600",
            "fax_number": "478-238-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-464-2600",
            "fax_number": "478-238-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "ASHLEY",
        "middle_name": "SOUZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN279230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SOUZA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.