Individual provider Active NPI

James Eric Mullins, Jr, M.D.

  • Obstetrics & Gynecology Physician
  • Kissimmee, FL
National Provider Identifier
1871597518
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME144040 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308
Phone
(407) 846-7200
Fax
(407) 846-3989
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X JM068606 MI
Obstetrics & Gynecology Physician 207V00000X ME144040 FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308

Mailing address

2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308
Phone (407) 846-7200

Other identifiers 2

IdentifierTypeStateIssuer
4223111MedicaidMI
160050107OtherMIMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200406001234 FL Practitioner - Obstetrics/Gynecology 2961390430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

2400 N Orange Blossom Trail
Suite 300
Kissimmee, FL 34744-2308
Phone (407) 846-7200

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144040FLMDObstetrics & Gynecology Physician
JM068606MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients
Womencare PA Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

400 Celebration Pl
Ste A130
Celebration, FL 34747
Phone (407) 228-8066

2400 N Orange Blossom Trl
Ste 300
Kissimmee, FL 34744
Phone (407) 648-9400

14050 Town Loop Blvd
Ste 101
Orlando, FL 32837
Phone (407) 240-4867

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1811 Lucerne Ter
Orlando, FL 32806
Phone (407) 423-0681

15502 Stoneybrook West Pkwy
Ste 112
Winter Garden, FL 34787
Phone (407) 846-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: james.mullins.2@2183.direct.athenahealth.com

Organizations & group practices 3

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1871597518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 300",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-846-7200",
            "fax_number": "407-846-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 300",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-846-7200",
            "fax_number": "407-846-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS, JR",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JM068606",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME144040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4223111",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160050107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.