JERRY MULLIS MD
NPI 1851314975
Emergency Medicine in Waycross, GA

Q: What is Jerry Mullis's NPI number?

The NPI number for Jerry Mullis is 1851314975. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jerry Mullis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Mullis was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since July 26, 2006PECOS Enrolled

2100 RIVERSIDE AVE, WAYCROSS, GA 31501(912) 490-7777 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry Mullis Md NPPES

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

JERRY MULLIS MD (NPI 1851314975) is an individual emergency medicine provider in Waycross, Georgia, licensed in Georgia (42368) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851314975

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJERRY MULLISCredential: MD

Location Address2100 RIVERSIDE AVEWaycross, GA 31501-7020

Mailing AddressPo Box 532855Atlanta, GA 30353-2855 · (904) 805-1300 · Fax (904) 805-1302

Phone(912) 490-7777

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJanuary 14, 2026

NPPES CertifiedJanuary 14, 2026

✔ NPI 1851314975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 42368

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2100 RIVERSIDE AVE, Waycross, GA 31501

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Other Identifiers 3

Medicaid000754872DGA

Medicaid000754872HGA

Other100165GA · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Mullis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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 6

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

TAYLER HUTTO ALLEN PA-C

Physician Assistant