JUSTIN MUKHALIAN PA
NPI 1194439778
Physician Assistant in Winder, GA

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
30 SATELLITE DR STE 200, WINDER, GA 30680(770) 586-0300 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, Jan 9, 2023 (2 updates tracked since 2023).

About Justin Mukhalian Pa NPPES

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

JUSTIN MUKHALIAN PA (NPI 1194439778) is an individual physician assistant in Winder, Georgia, licensed in Georgia (12397) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Bonaventure, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194439778
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN MUKHALIANCredential: PA
Location Address30 SATELLITE DR STE 200Winder, GA 30680-6211
Mailing Address30 Satellite Dr Ste 200Winder, GA 30680-6211 · (770) 586-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 9, 2023
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1194439778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 12397
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 SATELLITE DR STE 200, Winder, GA 30680

Secondary Practice Location 1

Location 13261 W State RdSaint Bonaventure, NY 14778-9800 · Phone (716) 375-7890

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

Justin Mukhalian Pa 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 ID4284172057
PECOS Enrollment IDI20240813000452
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30680 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 5

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

Internal Medicine (Pulmonary Disease)
30 SATELLITE DR STE 200
WINDER, GA 30680
Internal Medicine (Pulmonary Disease)
30 SATELLITE DR STE 200
WINDER, GA 30680
Physician Assistant (Medical)
30 SATELLITE DR STE 200
WINDER, GA 30680
Internal Medicine (Pulmonary Disease)
30 SATELLITE DR STE 200
WINDER, GA 30680
Nurse Practitioner (Family)
30 SATELLITE DR STE 200
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 Justin Mukhalian's NPI number?

The NPI number for Justin Mukhalian is 1194439778. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Justin Mukhalian located?

Justin Mukhalian practices at 30 Satellite Dr Ste 200, Winder, GA 30680. The listed phone number is (770) 586-0300.

What is Justin Mukhalian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Mukhalian enrolled in Medicare?

Yes. Justin Mukhalian 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.

When was this NPI record last updated?

The NPPES record for Justin Mukhalian was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.