| Johnny Glenn Mulliniks, FNP, APRN | |
|
371 Newnan Crossing Byp Ste 103, Newnan, GA 30265-3888 | |
| (770) 400-8410 | |
| (770) 400-8414 |
| Full Name | Johnny Glenn Mulliniks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 371 Newnan Crossing Byp Ste 103, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427511260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP188123 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 273 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Glenn Mulliniks, FNP, APRN 418 Foot Log Ln, Hogansville, GA 30230-1145 Ph: (706) 668-0136 | Johnny Glenn Mulliniks, FNP, APRN 371 Newnan Crossing Byp Ste 103, Newnan, GA 30265-3888 Ph: (770) 400-8410 |
Leah Shupe, PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 Highway 34 E, Newnan, GA 30265 Phone: 770-502-0202 Fax: 770-502-8822 | |
Dena Michelle Singleton, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Mitchell Boles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1665 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 770-252-7557 Fax: 770-252-7513 | |
Darlene Rene Crittenden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 | |
Felicia N. Onyeuku, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Maafia A Osei-cheremeh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 | |
Jessica Isaac, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Parkway N, Newnan, GA 30265 Phone: 770-400-6000 |