MR. JOHN WILLIAM MULLENS IV AGACNP
NPI 1710684428
Nurse Practitioner - Acute Care in Gainesville, GA

Active since February 13, 2023PECOS EnrolledAccepts Medicare Assignment
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501(770) 534-2020 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 24, 2023, May 21, 2023, May 1, 2023 and 1 more (4 updates tracked since 2023).

About Mr. John William Mullens Iv Agacnp NPPES

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

MR. JOHN WILLIAM MULLENS IV AGACNP (NPI 1710684428) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (RN289159) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Mercer University School Of Medicine (2022).

NPPES Registry Identity

NPI1710684428
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JOHN WILLIAM MULLENS IVCredential: AGACNP
Location Address200 S ENOTA DR NE STE 100Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2022
Enumeration DateFebruary 13, 2023
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1710684428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN289159
Also ListedRegistered NurseTaxonomy 163W00000X · License RN289159 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2023000291 (GA)
200 S ENOTA DR NE STE 100, Gainesville, GA 30501

Other Identifiers 2

Other2023000291GA · American Nursing Credentialing Center
OtherRN289159GA · Georgia Board Of Nursing

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

Mr. John William Mullens Iv Agacnp 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 ID8628435013
PECOS Enrollment IDI20230530001966
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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services29 patients
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.
34 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Adult Health)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501

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 John Mullens's NPI number?

The NPI number for John Mullens is 1710684428. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is John Mullens located?

John Mullens practices at 200 S Enota Dr NE Ste 100, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is John Mullens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Mullens enrolled in Medicare?

Yes. John Mullens 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.

Is John Mullens affiliated with any hospitals?

According to CMS data, John Mullens is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham and Union General Hospital.

When was this NPI record last updated?

The NPPES record for John Mullens was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.