Crystal Mullinax (NPI# 1013473107, PAC ID# 6002157609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013473107 |
| PAC ID by PECOS | 6002157609 |
| Professional Enrollment ID | I20190409000911 |
| Full Name | Crystal Mullinax |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Address |
1053 Ctr St West Columbia SC 29169-6749 |
| Phone Number | 8004910909 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800994807 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1053 Ctr St, West Columbia, SC 29169-6749 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
| Charles Busse | Family Medicine | Agape Senior Primary Care Inc | 910 M Gilead Dr, Suite B 1, Murrells Inlet, SC 29576-7792 |
| Jeffrey D Hook | Internal Medicine | Agape Senior Primary Care Inc | 1614 Main St C, Columbia, SC 29201-2860 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Sophie M Fowler | Nurse Practitioner | Agape Senior Primary Care Inc | 9302 Medical Plaza Dr, Charleston, SC 29406-9142 |
| Patrick K Ryan | Family Medicine | Agape Senior Primary Care Inc | 4600 Oleander Dr C, Myrtle Beach, SC 29577-5897 |
| Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Street Address |
1053 CTR ST |
| City | WEST COLUMBIA |
| State | SC |
| Zip | 29169-6749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Samica Snipes-smith | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Andrietta W Barnett | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Louis Aaron Bussells | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Collene Jones | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Richard Dawson | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Kellie Foxworth | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Cassandra Ellen Walsh | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Heather C Stavrakas | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Pattie M Farlow | Nurse Practitioner | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gwendolyn C Galphin | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| William Andrew Little | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Swathi Beeravolu | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gayatri Kuraganti | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| John M Lazaro | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Vijay A Koli | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Brent Michael Powers | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Find all physicians in zip 29169 | |||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST COLUMBIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal Mullinax.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.