Individual provider Active NPI

Andin H Mullis, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Mobile, AL
National Provider Identifier
1871907022
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
43829 Issued in AL
Practice address
6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone
(251) 607-9797
Fax
(251) 607-7696
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50431 KY
Cardiovascular Disease Physician 207RC0000X 43829 AL
Clinical Cardiac Electrophysiology Physician 207RC0001X 84332 SC
Student in an Organized Health Care Education/Training Program 390200000X NC
Clinical Cardiac Electrophysiology Physician 207RC0001X 43829 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Mailing address

169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425
Phone (843) 792-2300

Other practice location 1

3715 Dauphin St Ste 1100
Mobile, AL 36608-1785
Phone (251) 607-9797

Other practice location 2

171 Ashley Ave
Charleston, SC 29425-0001
Phone (843) 792-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220323001490 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3072834977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50431KYMDInternal Medicine Physician
43829ALMDClinical Cardiac Electrophysiology Physician
84332SCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients

Locations

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

3715 Dauphin St
Ste 1100
Mobile, AL 36608
Phone (251) 460-0078

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: andinmullis@cam.allscriptsdirect.net

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.

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1871907022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL, MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Dauphin St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081785",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294250001",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "ANDIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50431",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "43829",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "84332",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "43829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.