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THOMAS SHANE MCMULLEN RD
NPI 1104608058
Dietitian, Registered in Pontotoc, MS

Active since October 16, 2023
353 HIGHWAY 15 N, PONTOTOC, MS 38863(662) 490-1985(662) 490-1989 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Shane Mcmullen Rd NPPES

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

THOMAS SHANE MCMULLEN RD (NPI 1104608058) is an individual dietitian, registered in Pontotoc, Mississippi, licensed in Mississippi (D-2456) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1104608058
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameTHOMAS SHANE MCMULLENCredential: RD
Location Address353 HIGHWAY 15 NPontotoc, MS 38863-1103
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534
Phone(662) 490-1985
Fax(662) 490-1989
Sole ProprietorNo
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1104608058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MS · D-2456
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
353 HIGHWAY 15 N, Pontotoc, MS 38863
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

JOHN C ADAMS MD
Family Medicine
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
HALEY L SEWELL REGISTERED DIETITION
Dietitian, Registered
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
TIMOTHY FRANK THOMPSON M.D.
Family Medicine
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
DEBORAH TRAYLOR WILMOTH NURSE PRACTITIONER
Nurse Practitioner
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
ARCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
LYNNE KNIGHT LPC
Counselor (Professional)
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985
RANDEL GIBSON DO
Family Medicine
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Pontotoc County (662) 490-1985

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 Thomas Mcmullen's NPI number?

The NPI number for Thomas Mcmullen is 1104608058. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Thomas Mcmullen located?

Thomas Mcmullen practices at 353 Highway 15 N, Pontotoc, MS 38863. The listed phone number is (662) 490-1985.

What is Thomas Mcmullen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Thomas Mcmullen accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Molina Healthcare and Octave list Thomas Mcmullen 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 Thomas Mcmullen was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.