1. Home
  2. Directory
  3. Tennessee
  4. Selmer
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB CONNARD MULLINS MD
NPI 1194410316
Pediatrics in Selmer, TN

Active since April 05, 2023PECOS Enrolled
270 E COURT AVE, SELMER, TN 38375(731) 645-7932 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, May 22, 2023, Apr 15, 2023 and 1 more (4 updates tracked since 2023).

About Jacob Connard Mullins Md NPPES

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

JACOB CONNARD MULLINS MD (NPI 1194410316) is an individual pediatrics provider in Selmer, Tennessee, licensed in Tennessee (76924) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194410316
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB CONNARD MULLINSCredential: MD
Location Address270 E COURT AVESelmer, TN 38375-2304
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582
Phone(731) 645-7932
Sole ProprietorNo
Enumeration DateApril 5, 2023
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1194410316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 76924
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
270 E COURT AVE, Selmer, TN 38375
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Connard Mullins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

ELIZABETH ANN MANLEY D.PH.
Pharmacist
270 E COURT AVE, SUITE C
SELMER, TN 38375
McNairy County (731) 645-7008
MR. PRESTON PARKER EMBREY PA
Physician Assistant
270 E COURT AVE
SELMER, TN 38375
McNairy County (731) 541-9490
SARAH BERGMAN DO
Family Medicine
270 E COURT AVE
SELMER, TN 38375
McNairy County (731) 541-9490
CHRISTY MARIE DOYLE PHARMD
Pharmacist
270 E COURT AVE, SUITE C
SELMER, TN 38375
McNairy County (731) 645-7008
MRS. EMILY KING COOPER FNP
Nurse Practitioner
270 E COURT AVE, SUITE B
SELMER, TN 38375
McNairy County (731) 645-7932
BRIAN FULLWOOD MD
Family Medicine
270 E COURT AVE
SELMER, TN 38375
McNairy County (731) 645-7932
VICKI LEANN STOUT PT
Physical Therapist
270 E COURT AVE
SELMER, TN 38375
McNairy County (731) 645-7932
NATALIE EVANS LUTTRELL FNP0
Nurse Practitioner (Family)
270 E COURT AVE, SUITE B
SELMER, TN 38375
McNairy County (731) 645-7932

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 Jacob Mullins's NPI number?

The NPI number for Jacob Mullins is 1194410316. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Jacob Mullins located?

Jacob Mullins practices at 270 E Court Ave, Selmer, TN 38375. The listed phone number is (731) 645-7932.

What is Jacob Mullins's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Mullins enrolled in Medicare?

Yes. Jacob Mullins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Mullins was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.