Calvin Jeff Mullins (NPI# 1124011747, PAC ID# 6507977170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124011747 |
| PAC ID by PECOS | 6507977170 |
| Professional Enrollment ID | I20101022000042 |
| Full Name | Calvin Jeff Mullins |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Address |
8115 Country Village Dr Suite 105 Cordova TN 38016-2030 |
| Phone Number | 9017522300 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941480131 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 | 9017522300 | PRIMARY CARE GROUP, LLC |
| 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 | 9015160843 | PRIMARY CARE GROUP, LLC |
| 3725 Champion Hills Dr, Suite 2500, Memphis, TN 38125-2597 | 9012026034 | PRIMARY CARE GROUP, LLC |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Penina Danziger | Nurse Practitioner | Primary Care Group, LLC | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 |
| Nora E Maldonado | Family Medicine | Primary Care Group, LLC | 9047 Poplar Ave, Suite 105, Germantown, TN 38138-6401 |
| Jeffrey E Banham | Nurse Practitioner | Primary Care Group, LLC | 2589 Appling Rd, Suite 101, Bartlett, TN 38133-5099 |
| Kyle W Kimbrough | Physician Assistant | Primary Care Group, LLC | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 |
| Regina Forbess Goulder | Nurse Practitioner | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Michelle D Kitson | Internal Medicine | Primary Care Group, LLC | 5182 Sanderlin Ave, Suite 3, Memphis, TN 38117-4354 |
| Julie W Crafton | Nurse Practitioner | Primary Care Group, LLC | 7690 Wolf River Circle, Germantown, TN 38138-1744 |
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Street Address |
8115 COUNTRY VILLAGE DR SUITE 105 |
| City | CORDOVA |
| State | TN |
| Zip | 38016-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Joyce L White | Nurse Practitioner | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Madison Kali Warne | Nurse Practitioner | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Katherine O Kopinski | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Robert Michael Nollner | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Markham | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Robert Cody Heismann | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Michael L Smith | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Sayyida Abdus-salaam | Family Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Jennifer Goodfred | Family Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Marybeth W Floyd | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Rose C Ellen | Internal Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Charla F Wilson | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Kristen Dollahite | Physician Assistant | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Lee A Stearnes | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Find all physicians in zip 38016 | |||
| City | CORDOVA |
| Zip Code | 38016 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CORDOVA + FAMILY MEDICINE |
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| 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.