MR. BENNIE JOE MULLINS JR. CRNA
NPI 1235111428
Nurse Anesthetist, Certified Registered in Newnan, GA

Active since November 15, 2005
93.81/100
CMS Quality Rating
1755 HIGHWAY 34 E, SUITE 1100, NEWNAN, GA 30265(770) 251-2060 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2023, Mar 29, 2017, Nov 16, 2015 (3 updates tracked since 2015).

About Mr. Bennie Joe Mullins Jr. Crna NPPES

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

MR. BENNIE JOE MULLINS JR. CRNA (NPI 1235111428) is an individual nurse anesthetist, certified registered in Newnan, Georgia, licensed in Missouri (2004036293) and active in the NPI registry since November 2005. He is affiliated with Wellstar Cobb Medical Center, maintains a secondary practice location in Lawrenceville, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1235111428
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BENNIE JOE MULLINS JR.Credential: CRNA
Location Address1755 HIGHWAY 34 E, SUITE 1100Newnan, GA 30265-5631
Mailing AddressPo Box 73709Newnan, GA 30271-3709 · (770) 251-2060
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 15, 2005
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1235111428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in MO · 2004036293 Licensed in GA · RN113064
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1755 HIGHWAY 34 E, Newnan, GA 30265

Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282

Other Identifiers 1

Medicaid917249500MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Bennie Joe Mullins Jr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739122052
PECOS Enrollment IDI20170420001427

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.75
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1755 HIGHWAY 34 E, SUITE 2200
NEWNAN, GA 30265
Physical Therapist
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Orthopaedic Surgery
1755 HIGHWAY 34 E, SUITE 2200
NEWNAN, GA 30265
Physician Assistant
1755 HIGHWAY 34 E, SUITE 2200
NEWNAN, GA 30265
Speech-Language Pathologist
1755 HIGHWAY 34 E, SUITE 1300
NEWNAN, GA 30265
Specialist/Technologist (Athletic Trainer)
1755 HIGHWAY 34 E
NEWNAN, GA 30265
Physical Therapy Assistant
1755 HIGHWAY 34 E
NEWNAN, GA 30265

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 Bennie Mullins's NPI number?

The NPI number for Bennie Mullins is 1235111428. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Bennie Mullins located?

Bennie Mullins practices at 1755 Highway 34 E Suite 1100, Newnan, GA 30265. The listed phone number is (770) 251-2060.

What is Bennie Mullins's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bennie Mullins enrolled in Medicare?

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

Is Bennie Mullins affiliated with any hospitals?

According to CMS data, Bennie Mullins is affiliated with Wellstar Cobb Medical Center and Navicent Health Baldwin.

When was this NPI record last updated?

The NPPES record for Bennie Mullins was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.