NPIMap

Organization Active NPI

Nathan Hale Mull, IV, MD., PC

  • Internal Medicine Physician
  • Ft Oglethorpe, GA
National Provider Identifier
1962569335
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46626 Issued in GA
Legal business name
NATHAN HALE MULL, IV, MD., PC
Practice address
83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055
Phone
(706) 866-7762
Fax
(423) 495-7887
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Nathan H Mull IV, MDNPI 1588653208
Title
Owner
Phone
(706) 866-7762

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 46626 GA Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 46626 GA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 46626 GA

Addresses

Primary practice location

83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055

Mailing address

83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055
Phone (706) 866-7762

Other identifiers 1

IdentifierTypeStateIssuer
1588653208OtherTNNPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962569335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CRYE LEIKE DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-866-7762",
            "fax_number": "423-495-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CRYE LEIKE DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-866-7762",
            "fax_number": "423-495-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN HALE MULL, IV, MD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-866-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "46626",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "46626",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "46626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1588653208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.