DR. JAMES PATRICK MULLIN (NPI# 1023176369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023176369 |
| Entity Type | Individual |
| Full Name | DR. JAMES PATRICK MULLIN |
| Credential | PSY.D. |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702199611 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY002531 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002531 | GA | Behavioral Health & Social Service Providers |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
PSY002531 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000964323B | 05 | |
| GA | 000964323A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 743 Spring Street, Gainesville, GA 30501 | 7705338204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376625376 | James C Mullin | Specialist | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2006-10-19 |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729945 | Ann Marie Byers | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2005-09-08 |
| 1477104834 | Rachel Lynn Metz | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2019-09-26 |
| 1194176446 | Nhi-kieu Nguyen | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2016-06-28 |
| 1699132605 | Stacy Marie Eaton | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2016-01-21 |
| 1396088027 | Ava Ferdinand | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2013-04-01 |
| 1639422983 | Natalya Kovalenko | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-10-24 |
| 1942567060 | James Nathaniel Starr | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-04-13 |
| 1013292382 | Laura J Banner | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2011-10-18 |
| 1639253818 | Devin Paige Vicknair | Counselor | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-10-25 |
| 1073609756 | John E Delzell Jr. | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1023665742 | Chief Medical Services, LLC | Psychiatry & Neurology | 395 Eagles Pass, Alpharetta, GA 30004-4533 | 2019-08-19 |
| 1053891903 | Complete Neuro, LLC | Psychiatry & Neurology | 55 Craigs Ln, Tifton, GA 31794-9126 | 2018-08-20 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1811495989 | Pediatric Epilepsy and Child (peach) Neurology | Psychiatry & Neurology | 5935 Thoroughbred Way, Suwanee, GA 30024-1744 | 2018-01-24 |
| 1053658146 | Syntact, LLC | Psychiatry & Neurology | 1495 Natchez Way, Grayson, GA 30017-2930 | 2013-01-09 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1669654836 | Heidi Doss Riney | Psychiatry & Neurology | 4265 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | 2007-11-29 |
| 1497736045 | Plamen P Todorow | Psychiatry & Neurology | 105 Willowbrook Way Se, Calhoun, GA 30701 | 2005-11-10 |
| 1518598945 | Cameron Christopher Adam Smothers | Psychiatry & Neurology | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.