Jerry Mullis, MD in Waycross, GA - Medicare Emergency Medicine

Jerry Mullis, MD is a medicare enrolled "Emergency Medicine" physician in Waycross, Georgia. His current practice location is 2100 Riverside Ave, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 490-7777.

Jerry Mullis is licensed to practice in Georgia (license number 42368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851314975.

Contact Information

	Jerry Mullis, MD
	2100 Riverside Ave, Waycross, GA 31501-7020
	(912) 490-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerry Mullis
Gender	Male
Speciality	Emergency Medicine
Location	2100 Riverside Ave, Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851314975
Provider Enumeration Date: 07/26/2006
Last Update Date: 01/14/2026

Medicare PECOS Information:

PECOS PAC ID: 8820996564
Enrollment ID: I20040408000753

Medical Identifiers

Medical identifiers for Jerry Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851314975	NPI	-	NPPES
000754872D	Medicaid	GA
000754872H	Medicaid	GA
100165	Other	GA	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	42368 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jerry Mullis allows following entities to bill medicare on his behalf.

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Mullis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerry Mullis, MD Po Box 532855, Atlanta, GA 30353-2855 Ph: (904) 805-1300	Jerry Mullis, MD 2100 Riverside Ave, Waycross, GA 31501-7020 Ph: (912) 490-7777

Reviews and Comments

Emergency Medicine Doctors in Waycross, GA

Clay A Lee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Riverside Ave, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7778
Mr. Robert Allen Giles Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 283-912-3030
Dr. Adam Ransford Corman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St., Mayo Clinic Health Systems, Waycross, GA 31501 Phone: 912-338-6355 Fax: 912-287-2712
Phillip G. Grooms, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 City Blvd Ste B, Waycross, GA 31501 Phone: 912-279-4400 Fax: 912-279-4408
Robert W Tucker, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 218 Quarterman Street, Waycross, GA 31501 Phone: 912-287-0301 Fax: 912-287-1568
Dale Tucker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1506 Alice St, Waycross, GA 31501 Phone: 912-584-6500

Jerry Mullis, MD - Medicare Emergency Medicine in Waycross, GA