MULBERRY PRIMARY CARE LLC
NPI 1689435448
Family Medicine in Dacula, GA
About Mulberry Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MULBERRY PRIMARY CARE LLC (NPI 1689435448) is a healthcare organization registered as a family medicine in Dacula, Georgia and active in the NPI registry since January 2024. The organization lists Jocilli Walton, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mulberry Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mulberry Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mulberry Primary Care LLC's NPI number?
The NPI number for Mulberry Primary Care LLC is 1689435448. It was assigned to this organization in the NPPES registry on January 18, 2024.
Where is Mulberry Primary Care LLC located?
Mulberry Primary Care LLC is located at 831 Auburn Rd Ste 230, Dacula, GA 30019. The listed phone number is (678) 232-7332.
What is Mulberry Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mulberry Primary Care LLC enrolled in Medicare?
Yes. Mulberry Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mulberry Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mulberry Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mulberry Primary Care LLC was last updated on October 3, 2024. 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.
# Mulberry Primary Care Llc · NPI 1689435448
Family Medicine organization in Dacula, Georgia. Organization record, active in the CMS NPPES registry since January 18, 2024.
## Identity
- **NPI:** 1689435448 (Entity type: Organization)
- **Enumerated:** January 18, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jocilli Walton, FNP
## Practice location
- **Address:** 831 AUBURN RD STE 230, Dacula, GA 30019-5437
- **Phone:** (678) 232-7332 · **Fax:** (470) 300-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689435448) · Data from the CMS NPPES public registry.