COLIN MICHAEL MULLALY IDMT
NPI 1912481656
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

Active since September 19, 2018
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-7569 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colin Michael Mullaly Idmt NPPES

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

COLIN MICHAEL MULLALY IDMT (NPI 1912481656) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1912481656
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCOLIN MICHAEL MULLALYCredential: IDMT
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1912481656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
3278 MITCHELL BLVD, Moody Afb, GA 31699

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.

Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Dentist (General Practice)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699

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 Colin Mullaly's NPI number?

The NPI number for Colin Mullaly is 1912481656. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Colin Mullaly located?

Colin Mullaly practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-7569.

What is Colin Mullaly's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Colin Mullaly was last updated on September 22, 2023. 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.