MR. RONALD GERALD MULLIS PA-C
NPI 1023114774
Physician Assistant - Medical in Winder, GA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
316 N BROAD ST, WINDER, GA 30680(770) 867-3400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ronald Gerald Mullis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD GERALD MULLIS PA-C (NPI 1023114774) is an individual medical provider in Winder, Georgia, licensed in Georgia (PA4476) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023114774
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RONALD GERALD MULLISCredential: PA-C
Location Address316 N BROAD STWinder, GA 30680-2150
Mailing Address14050 Nw 14th St, Suite 190Sunrise, FL 33323-2865 · (800) 424-3672 · Fax (954) 377-3042
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023114774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · PA4476
316 N BROAD ST, Winder, GA 30680

Other Identifiers 2

Medicare UPINP27586
Medicare ID-Type UnspecifiedPENDINGGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronald Gerald Mullis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355378258
PECOS Enrollment IDI20260127003517
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services22 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
316 N BROAD ST
WINDER, GA 30680
Radiology (Diagnostic Radiology)
316 N BROAD ST
WINDER, GA 30680
Dentist (Pediatric Dentistry)
316 N BROAD ST
WINDER, GA 30680
Nurse Anesthetist, Certified Registered
316 N BROAD ST
WINDER, GA 30680
Anesthesiology
316 N BROAD ST
WINDER, GA 30680
Nurse Practitioner (Family)
316 N BROAD ST
WINDER, GA 30680
Internal Medicine
316 N BROAD ST
WINDER, GA 30680
Radiology (Diagnostic Radiology)
316 N BROAD ST
WINDER, GA 30680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Mullis's NPI number?

The NPI number for Ronald Mullis is 1023114774. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Ronald Mullis located?

Ronald Mullis practices at 316 N Broad St, Winder, GA 30680. The listed phone number is (770) 867-3400.

What is Ronald Mullis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ronald Mullis enrolled in Medicare?

Yes. Ronald Mullis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Mullis accept?

Health plans from Oscar Insurance Company list Ronald Mullis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Mullis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.