MR. BENNIE JOE MULLINS JR. (NPI# 1235111428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235111428 |
| Entity Type | Individual |
| Full Name | MR. BENNIE JOE MULLINS JR. |
| Credential | CRNA |
| Practice Address |
1755 Highway 34 E Suite 1100 Newnan GA 30265-5631 |
| Mailing Address |
Po Box 73709 Newnan GA 30271-3709 |
| Practice Telephone | 7702512060 |
| Mailing Telephone | 7702512060 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2004036293 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 917249500 | 05 |
| Street Address |
1755 HIGHWAY 34 E SUITE 1100 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572874 | Kaitlyn Mariel Ogden | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-14 |
| 1336753805 | Lindsay Marie Dixon | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-02 |
| 1518483411 | Jennifer Marie Tyra | Physical Therapist | 1755 Highway 34 E, Ste 1300, Newnan, GA 30265-3186 | 2017-08-22 |
| 1871018531 | Stephen Daniel Breckenridge | Physical Therapist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2017-08-03 |
| 1699229617 | Blake Austin Hampton | Physical Therapist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2016-08-08 |
| 1154782647 | Karen Martin | Physical Therapy Assistant | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2016-03-11 |
| 1134505910 | Jordan Elizabeth Fowler | Specialist/Technologist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2015-08-04 |
| 1578947768 | Lee Davis | Physician Assistant | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2015-07-17 |
| 1487955373 | James Russell Smith | Physician Assistant | 1755 Highway 34 E, Ste 2200, Georgia Bone and Joint, Newnan, GA 30265-5631 | 2010-11-08 |
| 1023326329 | Jared R Shafer | Physician Assistant | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2010-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538409792 | Kadee N Whittington | Nurse Anesthetist, Certified Registered | 2050 Newnan Crossing Blvd E, Apartment 8007, Newnan, GA 30265-2354 | 2013-02-26 |
| 1942336581 | Conelia Stacie Munn | Nurse Anesthetist, Certified Registered | 2326 Highway 34 E Ste 100, Newnan, GA 30265-1328 | 2007-02-26 |
| 1083667042 | Paul L Duso | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive Suite A, Newnan, GA 30265 | 2006-05-18 |
| 1043826985 | Taylor Michelle Courtner | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-09-16 |
| 1518572874 | Kaitlyn Mariel Ogden | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-14 |
| 1336753805 | Lindsay Marie Dixon | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-02 |
| 1043823867 | Shawn Biddle | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-08-31 |
| 1114535242 | Jennifer Lynn Mccuen | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2020-07-15 |
| 1184276388 | Milagros Janusz | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2019-07-09 |
| 1699249490 | Samantha Mcdaniel Crow | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 | 2019-01-15 |
| Find all providers in NEWNAN | ||||
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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.