Active NPI
Edward Nicholas Misulis, MBBS
- Neurology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD213872
- Practice address
- 1161 21St Ave S
Nashville, TN 37232-0011 - Phone
- (615) 322-0417
- NPI assigned
- May 18, 2018
- Last updated
- Jun 9, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME158259 | FL | |
| Neurology Physician | 2084N0400X | MD25620 | ME | |
| Neurology Physician | 2084N0400X | MD213872 | OR | Primary |
Addresses
Primary practice location
1161 21St Ave S
Nashville, TN 37232-0011
Mailing address
1161 21St Ave S
Nashville, TN 37232-0011
Phone (615) 322-0417
Other practice location 1
11215 Metro Pkwy Bldg 3
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MI, AZ, OH, NH, IA, KY, GA, OR, WA, FL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
48 Date St
Old Orchard Beach, ME 04064-1173
Phone (239) 208-2212
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646
80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Altru Health System | Family Medicine | Current | Accepting new patients |
| Concord Hospital-Laconia | Family Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Family Medicine | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Upson County Hospital Inc | Neurology | Current | Accepting new patients |
| Upson County Hospital Inc | Family Medicine | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations (25 of 31)
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- emisulis4030886@direct.trinity-health.org
- emisulis864291@direct.ketteringhealth.org
Organizations & group practices 30
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.
-
dba Altru 1300 Columbia
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
Family Medicine
-
dba Concord Hospital-Laconia Professional Billing Service
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Family Medicine
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
Neurology
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba HCA Florida Highlands Hospital
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1902396559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320011",
"telephone_number": "615-322-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320011",
"telephone_number": "615-322-0417"
}
],
"practiceLocations": [
{
"address_1": "11215 Metro Pkwy Bldg 3",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISULIS",
"first_name": "EDWARD",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-18",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME158259",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ME",
"license": "MD25620",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD213872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Missionpoint Health Partners
- Missionpoint Services, LLC (MissionPoint Connect)
- Missionpoint Services, LLC (MissionPoint Connect)
- Louise M Mistak, APRN-BC
- Eva Akshitkumar Mistry, M.D.
- Karl Edward Misulis, M.D., PH.D.
- Mitchell Healthcare
- Andrew J Mitchell
- Charles Austin Mitchell III, M.D.
- Deborah Frederica Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.