THOMAS CORBIN MULLIS (NPI# 1174743918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174743918 |
| Entity Type | Individual |
| Full Name | THOMAS CORBIN MULLIS |
| Credential | MD |
| Practice Address |
102 Fairview Park Dr Dublin Ent Associates Dublin GA 31021-2500 |
| Practice Telephone | 4782728382 |
| Practice Fax Number | 4782728464 |
| Mailing Telephone | 4782728382 |
| Mailing Fax Number | 4782728464 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 060771 | GA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 19375 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
102 FAIRVIEW PARK DR DUBLIN ENT ASSOCIATES |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026117 | Lana K Lott | Physician Assistant | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-05-05 |
| 1003275074 | Melissa French Gay | Audiologist | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2016-02-18 |
| 1922270917 | Susan L Petrey | Audiologist | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2008-03-31 |
| 1184778425 | Dublin Ear Nose and Throat Associates, P.C. | Specialist | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2007-01-23 |
| 1760554877 | Paul David Kellam Jr. | Otolaryngology | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1841415049 | Sumit Bapna | Otolaryngology | 6325 Emerald Pkwy Ste 1b, Dublin, OH 43016-3241 | 2007-04-16 |
| 1215009709 | Irineo P Pantangco Jr. | Otolaryngology | 5857 Dyrham Park, Dublin, OH 43017-3656 | 2006-11-14 |
| 1467494401 | Brad William Desilva | Otolaryngology | 565 Metro Pl S, Dublin, OH 43017-5351 | 2006-06-12 |
| 1740244482 | Boris I Karanfilov | Otolaryngology | 5378 Avery Rd, Dublin, OH 43016-6933 | 2006-04-12 |
| 1437322310 | Joseph E Hall | Otolaryngology | 6670 Perimeter Dr, Ste 120, Dublin, OH 43016-8056 | 2008-04-11 |
| 1447476536 | Laura A Matrka | Otolaryngology | 4019 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2007-04-17 |
| 1760554877 | Paul David Kellam Jr. | Otolaryngology | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-11-14 |
| 1871686147 | Edward Eugene Dodson | Otolaryngology | 565 Metro Pl S, Dublin, OH 43017-5351 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1154822971 | Coastal Ear, Nose & Throat | Otolaryngology | 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 | 2018-02-27 |
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1871970210 | North Atlanta Ear Nose & Throat PC | Otolaryngology | 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 | 2015-05-06 |
| 1235516741 | Alicia Bernstein | Otolaryngology | 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 | 2015-05-04 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1922413343 | Colin Wyatt Fuller | Otolaryngology | 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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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.