P Praxis·MD
● Active Type 1 · Individual

DR. Earl Nicholas Mullis JR., M.D.

Surgery·MacOn, GA· NPI 1215962170 · Enumerated 2006 · 19 years on NPI
Mullis is 1 of 66 surgery providers in MacOn and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-07-11
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
380 Hospital Dr Ste 320
MacOn, GA 312178007
📞 4787508606
Mailing address
113 Lagrange Pl
MacOn, GA 312101473
📞 4787462770fax 4787460000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
870 High St
MacOn, GA 312012007
📞 4787462770fax 4787460000

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #31999 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 004302C

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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