Mr John Harrison Mullins Iii, FNP - Medicare Nurse Practitioner in Johnson City, TN

Mr John Harrison Mullins Iii, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. He went to University Of Cincinnati College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Western Virginia Regional Emergency Physicians Llc and his current practice location is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-6561.

Mr John Harrison Mullins Iii is licensed to practice in Tennessee (license number 17576) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104168905.

Contact Information

Mr John Harrison Mullins Iii, FNP
400 N State Of Franklin Rd,
Johnson City, TN 37604-6035
(423) 431-6561
Not Available

Map and Direction




Provider's Profile

Full NameMr John Harrison Mullins Iii
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John Harrison Mullins Iii attended and graduated from University Of Cincinnati College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1104168905
  • Provider Enumeration Date: 03/20/2013
  • Last Update Date: 02/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9739329798
  • Enrollment ID: I20130905000288

Medical Identifiers

Medical identifiers for Mr John Harrison Mullins Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104168905NPI-NPPES
1104168905MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024170760 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 17576 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lonesome Pine HospitalBig stone gap, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Western Virginia Regional Emergency Physicians Llc418399122779

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. Mr John Harrison Mullins Iii allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Of Southern Virginia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417187667
PECOS PAC ID: 0345236568
Enrollment ID: O20040422001520
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487963781
PECOS PAC ID: 6901099639
Enrollment ID: O20110120000558
Entity NameWestern Virginia Regional Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386183028
PECOS PAC ID: 4183991227
Enrollment ID: O20170522001368

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. Mr John Harrison Mullins Iii 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 AddressPractice Location Address
Mr John Harrison Mullins Iii, FNP
400 N State Of Franklin Rd,
Johnson City, TN 37604-6035

Ph: (423) 431-6561
Mr John Harrison Mullins Iii, FNP
400 N State Of Franklin Rd,
Johnson City, TN 37604-6035

Ph: (423) 431-6561

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-6940
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Miss Samantha Manuel I, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604
Phone: 423-952-8000    Fax: 423-952-8001

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.