Organization Active NPI

Steven L Mullis MD PA

Doing business as Cypress Medical

  • General Practice Physician
  • Panama City, FL
National Provider Identifier
1922029537
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STEVEN L MULLIS MD PA
Doing business as
Cypress Medical
Practice address
114 Airport Rd Ste B
Panama City, FL 32405-4738
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Steven L Mullis, M.D.NPI 1912968512
Title
President
Phone
(850) 785-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

114 Airport Rd Ste B
Panama City, FL 32405-4738

Mailing address

114 Airport Rd Ste B
Panama City, FL 32405-4738
Phone (850) 785-0788

Other identifiers 1

IdentifierTypeStateIssuer
37832OtherFLBCBS FLORIDA

Other names 1

  • Cypress Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923001092 FL Part B Supplier - Clinic/Group Practice 6709854094 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0858811Steven L Mullis MD PA114 Airport Rd, Panama City, FL 32405Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2202 State Ave
Ste 304
Panama City, FL 32405
Phone (850) 784-4757

114 Airport Rd
Ste B
Panama City, FL 32405
Phone (850) 784-4757

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1922029537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054738",
            "telephone_number": "850-785-0788",
            "fax_number": "850-785-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L MULLIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-785-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "37832",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.