Samantha Mullis, NNP - Nurse Practitioner in Charlotte, NC

Samantha Mullis, NNP is a Nurse Practitioner - Neonatal, Critical Care based in Charlotte, North Carolina. Samantha Mullis is licensed to practice in North Carolina (license number 5011980) and her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 384-4109.

NPI number for Samantha Mullis is 1003468844 and her current mailing address is 200 Hawthorne Ln, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003468844.

Contact Information

Samantha Mullis, NNP
200 Hawthorne Ln,
Charlotte, NC 28204-2515
(704) 384-4109
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Mullis
GenderFemale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003468844
  • Provider Enumeration Date: 07/11/2019
  • Last Update Date: 06/02/2023

Medical Identifiers

Medical identifiers for Samantha Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003468844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 5011980 (North Carolina)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 5011980 (North Carolina)Primary

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. Samantha Mullis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Mullis, NNP
200 Hawthorne Ln,
Charlotte, NC 28204-2515

Ph: (704) 384-4109
Samantha Mullis, NNP
200 Hawthorne Ln,
Charlotte, NC 28204-2515

Ph: (704) 384-4109

Reviews and Comments


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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.

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