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MULBERRYS MOBILE PROVIDER SERVICES, LLC
NPI 1831683861
General Practice in Hawthorne, FL

Active since June 22, 2018CLIA Certified · 2 labs
6435 SE US HIGHWAY 301, HAWTHORNE, FL 32640(352) 358-8070(949) 577-4783 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, Oct 9, 2020, Aug 10, 2020 and 4 more (7 updates tracked since 2018).

About Mulberrys Mobile Provider Services, Llc NPPES

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

MULBERRYS MOBILE PROVIDER SERVICES, LLC (NPI 1831683861), doing business as Mmps, Llc, is a healthcare organization registered as a general practice in Hawthorne, Florida and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Michell Mulberry, Provider, Owner, as its authorized official.

NPPES Registry Identity

NPI1831683861
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMULBERRYS MOBILE PROVIDER SERVICES
Location Address6435 SE US HIGHWAY 301Hawthorne, FL 32640-7309
Mailing Address6435 Se Us Highway 301Hawthorne, FL 32640-7309 · (352) 358-8070 · Fax (949) 577-4783
Phone(352) 358-8070
Fax(949) 577-4783
Organization SubpartNo
Authorized OfficialMichell MulberryProvider, Owner · (352) 358-8070
Enumeration DateJune 22, 2018
Last NPPES UpdateFebruary 8, 20217 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1831683861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
6435 SE US HIGHWAY 301, Hawthorne, FL 32640
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Other Names 2

Other NameMulberrys Mobile Provider Services, Llc
Doing Business AsMmps, Llc

Secondary Practice Locations 2

Location 1203 S Moody RdPalatka, FL 32177-3903 · Phone (352) 358-8070 · Fax (352) 358-8066
Location 24601 NW 53rd AveGainesville, FL 32653-4882 · Phone (352) 358-8070

Other Identifiers 2

Medicaid107001000FL
Medicaid106245700FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mulberrys Mobile Provider Services, 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 Mulberrys Mobile Provider Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michell Mulberry, DNP, ARNP-BC
Nurse Practitioner
NPI 1902141260
2318 NW 90TH TER
Gainesville, FL 32606
(856) 718-7445
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2189504

Mulberry's Mobile Provider Services LLC · Hawthorne, FL
Active · expires Jul 30, 2028
CLIA Number10D2189504
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorCelal Erbay
Laboratory Phone(352) 358-8070
Laboratory LocationMulberry's Mobile Provider Services LLC6435 SE Us Hwy 301, Hawthorne, FL 32640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2271631

Mulberrys Mobile Provider Services LLC · Gainesville, FL
Active · expires Nov 3, 2026
CLIA Number10D2271631
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMichell Mulberry
Laboratory Phone(352) 358-8070
Laboratory LocationMulberrys Mobile Provider Services LLC4641 NW 6th Street Suite C, Gainesville, FL 32609
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mulberrys Mobile Provider Services's NPI number?

The NPI number for Mulberrys Mobile Provider Services is 1831683861. It was assigned to this organization in the NPPES registry on June 22, 2018. The provider is doing business as Mmps, LLC. The provider is also known as Mulberrys Mobile Provider Services, LLC.

Where is Mulberrys Mobile Provider Services located?

Mulberrys Mobile Provider Services is located at 6435 SE Us Highway 301, Hawthorne, FL 32640. The listed phone number is (352) 358-8070.

What is Mulberrys Mobile Provider Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mulberrys Mobile Provider Services enrolled in Medicare?

Yes. Mulberrys Mobile Provider Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mulberrys Mobile Provider Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mulberrys Mobile Provider Services. 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.

Does Mulberrys Mobile Provider Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mulberrys Mobile Provider Services was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.