LEE ASHLEY MULLINAX (NPI# 1073558516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073558516 |
| Entity Type | Individual |
| Full Name | LEE ASHLEY MULLINAX |
| Credential | MD |
| Practice Address |
111 Doctors Dr Greenville SC 29605-5622 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647977100 |
| Practice Fax Number | 8647977105 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
29450 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00900016 | 01 |
| SC | G55149 | 05 |
| Street Address |
111 DOCTORS DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407171 | Alfred Turner Nelson Jr. | Neurological Surgery | 111 Doctors Dr, Greenville, SC 29605-5622 | 2005-06-15 |
| 1174166169 | Graceanna Baker | Nurse Practitioner | 111 Doctors Dr, Greenville, SC 29605-5622 | 2019-10-22 |
| 1225595275 | Kelsey Marie Andersson | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2019-02-26 |
| 1538675756 | Amanda Marie Looper | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2017-12-26 |
| 1902276801 | Shonda Michelle Thrift | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2015-10-05 |
| 1912375247 | Briana Kyleen Isakson | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2015-09-03 |
| 1801220900 | Joseph B Dowsley | Physical Therapist | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-08-26 |
| 1053745190 | Matthew John Naegel | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-08-26 |
| 1639510704 | Stanley Wayne Darnell | Nurse Practitioner | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-07-17 |
| 1598100349 | Anand Venkatraman | Psychiatry & Neurology | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952674277 | The Heag Pain Management Center Pa | Anesthesiology | 2245 Stantonsburg Rd Ste H, Greenville, NC 27834 | 2012-02-16 |
| 1043540222 | Carolinas Center for Advanced Management of Pain, Pa | Anesthesiology | 10 Enterprise Blvd Ste 201, Greenville, SC 29615-3554 | 2010-01-11 |
| 1912443821 | Interventional Pain Center, Pllc | Anesthesiology | 2080 W Arlington Blvd, Suite A, Greenville, NC 27834-3770 | 2017-01-17 |
| 1215488267 | Konig Pm, LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-10-14 |
| 1932652328 | Konig Pm LLC | Anesthesiology | 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 | 2016-08-02 |
| 1154563955 | Optimal Anesthesia, Pllc | Anesthesiology | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2009-03-25 |
| 1700833654 | Adele S Lynagh | Anesthesiology | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
| 1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
| 1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
| 1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.