MR. RONALD GERALD MULLIS (NPI# 1023114774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023114774 |
| Entity Type | Individual |
| Full Name | MR. RONALD GERALD MULLIS |
| Credential | PA-C |
| Practice Address |
316 N Broad St Winder GA 30680-2150 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 7708673400 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4476 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093729246 | Ronald J Mullis | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 1740217744 | Ronald F. Mullis | Anesthesiology | 8401 Market St, Boardman, OH 44512-6725 | 2006-06-26 |
| Street Address |
316 N BROAD ST |
| City | WINDER |
| State | GA |
| Zip Code | 30680-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194222 | Winder Hma LLC | General Acute Care Hospital | 316 N Broad St, Winder, GA 30680-2150 | 2005-09-13 |
| 1023543568 | Nikesh Patel | Hospitalist | 316 N Broad St, Winder, GA 30680-2150 | 2017-04-21 |
| 1881144889 | Ngmc Barrow LLC | General Acute Care Hospital | 316 N Broad St, Winder, GA 30680-2150 | 2016-10-13 |
| 1750734323 | Nelda Darlene Holley | Nurse Practitioner | 316 N Broad St, Winder, GA 30680-2150 | 2016-07-19 |
| 1366838294 | Deborah Ann Cochran | Registered Nurse | 316 N Broad St, Winder, GA 30680-2150 | 2015-04-07 |
| 1285887745 | Derrick Eugene Sims | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2008-10-28 |
| 1306096755 | Imaging Associates of North Georgia, Inc | Radiology | 316 N Broad St, Winder, GA 30680-2150 | 2008-09-23 |
| 1518153576 | Barrow Inpatient Services, P.C. | Hospitalist | 316 N Broad St, Winder, GA 30680-2150 | 2007-09-24 |
| 1891992020 | Altaf Husain Tadkod | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2007-06-29 |
| 1871633701 | Gedion A Getachew | Internal Medicine | 316 N Broad St, Winder, GA 30680-2150 | 2007-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
| 1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
| 1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
| 1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
| 1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
| 1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
| 1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
| Find all providers in zip 30680 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841410560 | Donald E. Mauney | Physician Assistant | 299 N Broad St, Winder, GA 30680-2155 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.