Active NPI
W. Michael Mullins, MD
- Otolaryngology Physician
- Nashville, TN
National Provider Identifier
1891882932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD07263
- Practice address
- 222 22ND Ave N
Nashville, TN 37203-1852 - Phone
- (629) 255-2064
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD07263 | TN | Primary |
Addresses
Primary practice location
222 22ND Ave N
Nashville, TN 37203-1852
Mailing address
222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3184122 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07263 | TN | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1891882932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031852",
"telephone_number": "629-255-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031852",
"telephone_number": "629-255-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "W. MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "MD07263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3184122",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.