STEPHEN TREY MULLIS (NPI# 1518295641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518295641 |
| Entity Type | Individual |
| Full Name | STEPHEN TREY MULLIS |
| Credential | M.D. |
| Practice Address |
1025 Verdae Blvd Ste A Greenville SC 29607 |
| Mailing Address |
1025 Verdae Blvd Ste A Greenville SC 29607-4032 |
| Practice Telephone | 8642405054 |
| Practice Fax Number | 8602405055 |
| Mailing Telephone | 8642405054 |
| Mailing Fax Number | 8602405055 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2016-00397 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2016-00397 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD52401 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Silas Creek Pkwy, Winston Salem, NC 271033013 | 3367187080 | 3367189622 |
| Street Address |
1025 VERDAE BLVD STE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588813745 | Sheri L Morris | Registered Nurse | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2008-09-12 |
| 1588177265 | Brittany D. Hughes | Internal Medicine | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2017-11-16 |
| 1629590583 | Trina Nicole Ravenell | Physician Assistant | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2017-07-12 |
| 1588199335 | Nicholas Lee Kennedy | Internal Medicine | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2017-04-28 |
| 1467833806 | Sheena Marie Henry | Internal Medicine | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2015-06-11 |
| 1225428535 | Elizabeth Banks | Registered Nurse | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2015-01-26 |
| 1730432964 | Upstate Pharmacy Ima | Pharmacy | 1025 Verdae Blvd Ste A, Greenville, SC 29607-4032 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568786630 | Irum Mona Idrees | Internal Medicine | 135 Commonwealth Dr Ste 170, Greenville, SC 29615-6940 | 2010-03-18 |
| 1114104999 | Suhail Kumar | Internal Medicine | 3 Saint Francis Dr Ste 400, Greenville, SC 29601 | 2008-01-24 |
| 1437285996 | Upmc Community Medicine Inc | Internal Medicine | 30 Conneaut Lake Rd, Greenville, PA 16125-2167 | 2007-02-26 |
| 1699725986 | Muthamma J Machimada | Internal Medicine | 135 Commonwealth Dr. Ste. 170, Greenville, SC 29615-6940 | 2006-05-10 |
| 1477549780 | Carolina Arthritis Center, Pa | Internal Medicine | 2355 Hemby Ln, Greenville, NC 27834-3776 | 2005-09-22 |
| 1578188819 | American Arthritis & Rheumatology Associates - Sc LLC | Internal Medicine | 2104a Woodruff Rd, Greenville, SC 29607-5941 | 2020-06-12 |
| 1912291212 | Liangyong Jiang | Internal Medicine | 1850 W Arlington Blvd, Greenville, NC 27834-5704 | 2011-06-03 |
| 1093036121 | St Francis Physician Services Inc | Internal Medicine | 135 Commonwealth Dr Ste 170, Greenville, SC 29615-6940 | 2010-06-11 |
| 1447572169 | Long Huynh-duc | Internal Medicine | 3 Saint Francis Dr, Suite 400, Greenville, SC 29601-3971 | 2010-02-22 |
| 1851558100 | David P.a. Michel | Internal Medicine | 1850 W Arlington Blvd, Greenville, NC 27834-5704 | 2008-05-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.