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MARIE HAGOOD MULKEY APRN FNP-BC
NPI 1912138264
Nurse Practitioner - Family in Canton, GA

Active since August 04, 2009PECOS Enrolled
3755 SIXES RD, SUITE 202, CANTON, GA 30114(770) 720-1880(770) 704-7162 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marie Hagood Mulkey Aprn Fnp-bc NPPES

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

MARIE HAGOOD MULKEY APRN FNP-BC (NPI 1912138264) is an individual family provider in Canton, Georgia, licensed in Georgia (RN042463 NP) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912138264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE HAGOOD MULKEYCredential: APRN FNP-BC
Location Address3755 SIXES RD, SUITE 202Canton, GA 30114-7842
Mailing Address3755 Sixes Rd, Suite 202Canton, GA 30114-7842 · (770) 720-1880 · Fax (770) 704-7162
Phone(770) 720-1880
Fax(770) 704-7162
Sole ProprietorYes
Enumeration DateAugust 4, 2009
✔ NPI 1912138264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN042463 NP
3755 SIXES RD, Canton, GA 30114
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS48746GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Hagood Mulkey Aprn Fnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Marie Mulkey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
Same address
Family Medicine
3755 SIXES RD, SUITE 202
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1346593316 (770) 720-1880

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 11

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

MRS. GRACELYN AMBRISTER DENEUS FNP
Nurse Practitioner (Family)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (404) 395-0890
DR. NATHAN MICHAEL KALLER D.O.
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
DR. SCOTT VIDAR MERRITT DMD
Dentist (General Practice)
3755 SIXES RD, STE 100
CANTON, GA 30114
Cherokee County (770) 704-1812
WILLIAM E PORTER M.D.
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
WELLSTAR MEDICAL GROUP, LLC
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
JEFFREY ALLEN DONOHUE
Family Medicine
3755 SIXES RD, SUITE 202
CANTON, GA 30114
Cherokee County (770) 720-1880
MRS. STEPHANIE DIANE BRUTON NP
Nurse Practitioner (Family)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (770) 704-4580
MEGAN LENA WANDER SUTER CPNP-PC
Nurse Practitioner (Pediatrics)
3755 SIXES RD
CANTON, GA 30114
Cherokee County (706) 692-9768

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 Marie Mulkey's NPI number?

The NPI number for Marie Mulkey is 1912138264. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Marie Mulkey located?

Marie Mulkey practices at 3755 Sixes Rd Suite 202, Canton, GA 30114. The listed phone number is (770) 720-1880.

What is Marie Mulkey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marie Mulkey enrolled in Medicare?

Yes. Marie Mulkey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Mulkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Mulkey reassigns Medicare benefits to Wellstar Medical Group, LLC (Canton, GA). The 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 Marie Mulkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marie Mulkey was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.