MR. BENNIE JOE MULLINS JR.


Address: 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631
Phone: 7702512060

MR. BENNIE JOE MULLINS JR. (NPI# 1235111428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235111428
Entity Type Individual
Full Name MR. BENNIE JOE MULLINS JR.
Credential CRNA
Practice Address 1755 Highway 34 E
Suite 1100
Newnan
GA 30265-5631
Mailing Address Po Box 73709
Newnan
GA 30271-3709
Practice Telephone 7702512060
Mailing Telephone 7702512060
Enumeration Date 2005-11-15
Last Update Date 2017-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 2004036293 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 917249500 05

Office Location

Street Address 1755 HIGHWAY 34 E
SUITE 1100
City NEWNAN
State GA
Zip Code 30265-5631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518572874 Kaitlyn Mariel Ogden Nurse Anesthetist, Certified Registered 1755 Highway 34 E, Newnan, GA 30265-5631 2020-09-14
1336753805 Lindsay Marie Dixon Nurse Anesthetist, Certified Registered 1755 Highway 34 E, Newnan, GA 30265-5631 2020-09-02
1518483411 Jennifer Marie Tyra Physical Therapist 1755 Highway 34 E, Ste 1300, Newnan, GA 30265-3186 2017-08-22
1871018531 Stephen Daniel Breckenridge Physical Therapist 1755 Highway 34 E, Newnan, GA 30265-5631 2017-08-03
1699229617 Blake Austin Hampton Physical Therapist 1755 Highway 34 E, Newnan, GA 30265-5631 2016-08-08
1154782647 Karen Martin Physical Therapy Assistant 1755 Highway 34 E, Newnan, GA 30265-5631 2016-03-11
1134505910 Jordan Elizabeth Fowler Specialist/Technologist 1755 Highway 34 E, Newnan, GA 30265-5631 2015-08-04
1578947768 Lee Davis Physician Assistant 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 2015-07-17
1487955373 James Russell Smith Physician Assistant 1755 Highway 34 E, Ste 2200, Georgia Bone and Joint, Newnan, GA 30265-5631 2010-11-08
1023326329 Jared R Shafer Physician Assistant 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 2010-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265041537 Shiva Bazargan Pharmacist 3116 Sr 34 West, Newnan, GA 30265 2020-07-23
1992322549 Doctorsbeyond Inc. Clinic/Center 277 Skyview Court, Newnan, GA 30265 2020-06-30
1225652936 Jerrica Conyers Nurse Practitioner 1635 Highwat 34 East Suite C, Newnan, GA 30265 2020-05-29
1982234688 Morgan Elizabeth Bross Physician Assistant 1825 Ga- 34, Newnan, GA 30265 2020-01-22
1013553379 Hopebridge LLC Behavior Technician 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 2019-11-21
1518528116 Stepping Stones Psychiatric Care LLC Nurse Practitioner 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 2019-06-25
1356823363 Stephen William Jacon Specialist/Technologist 29 Muirfield Court, Newnan, GA 30265 2018-09-05
1881176832 Blueprint Psychiatry, LLC Psychiatry & Neurology 1601 Highway 34 E Ste A, Newnan, GA 30265 2018-09-05
1548790769 Timothy Collins Physical Therapist 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 2017-06-20
1497289748 Edible Health & Wellness,llc Clinic/Center 90f Glenda Trace Pmb 318, Newnan, GA 30265 2017-04-13
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538409792 Kadee N Whittington Nurse Anesthetist, Certified Registered 2050 Newnan Crossing Blvd E, Apartment 8007, Newnan, GA 30265-2354 2013-02-26
1942336581 Conelia Stacie Munn Nurse Anesthetist, Certified Registered 2326 Highway 34 E Ste 100, Newnan, GA 30265-1328 2007-02-26
1083667042 Paul L Duso Nurse Anesthetist, Certified Registered 80 Newnan Station Drive Suite A, Newnan, GA 30265 2006-05-18
1043826985 Taylor Michelle Courtner Nurse Anesthetist, Certified Registered 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 2020-09-16
1518572874 Kaitlyn Mariel Ogden Nurse Anesthetist, Certified Registered 1755 Highway 34 E, Newnan, GA 30265-5631 2020-09-14
1336753805 Lindsay Marie Dixon Nurse Anesthetist, Certified Registered 1755 Highway 34 E, Newnan, GA 30265-5631 2020-09-02
1043823867 Shawn Biddle Nurse Anesthetist, Certified Registered 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 2020-08-31
1114535242 Jennifer Lynn Mccuen Nurse Anesthetist, Certified Registered 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 2020-07-15
1184276388 Milagros Janusz Nurse Anesthetist, Certified Registered 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 2019-07-09
1699249490 Samantha Mcdaniel Crow Nurse Anesthetist, Certified Registered 1755 Highway 34 E Ste 1100, Newnan, GA 30265-3184 2019-01-15
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City NEWNAN
Zip Code 30265

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Dataset Information

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.

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