| Timothy H Mullinix, CRNP | |
|
227 Hospital Dr, Jackson, AL 36545-2423 | |
| (251) 246-4446 | |
| (251) 246-5111 |
| Full Name | Timothy H Mullinix |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 227 Hospital Dr, Jackson, Alabama |
| 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 |
|---|---|---|---|
| 1851391817 | NPI | - | NPPES |
| 529700760 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-064044 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Medical Center | Jackson, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Jackson Healthcare Authority | 2062950199 | 13 |
| Ghs Jmc Clinics Llc | 6800191107 | 6 |
| Entity Name | Mobile Emergency Physicians, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881934982 PECOS PAC ID: 4981840832 Enrollment ID: O20130418000512 |
| Entity Name | Ghs Jmc Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366808404 PECOS PAC ID: 6800191107 Enrollment ID: O20160224002285 |
| Entity Name | City Of Jackson Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366808404 PECOS PAC ID: 2062950199 Enrollment ID: O20250211002844 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy H Mullinix, CRNP Po Box 639, 227 Hospital Drive, Jackson, AL 36545-0639 Ph: (251) 246-4446 | Timothy H Mullinix, CRNP 227 Hospital Dr, Jackson, AL 36545-2423 Ph: (251) 246-4446 |
Angela Bolen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-9021 | |
Ms. Rene Bontrager, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1210 Fax: 251-246-1219 | |
Linda T Reynolds, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111 | |
Shaqualyn Taite, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4005 N College Ave, Jackson, AL 36545 Phone: 251-744-6084 | |
Jennifer Tolbert Dowling, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1203 Fax: 251-246-1180 | |
Mrs. Jessie Louise Criswell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111 |