P Praxis·MD
● Active Type 1 · Individual

MR. Bennie Joe Mullins JR., CRNA

Nurse Anesthetist, Certified Registered·Newnan, GA· NPI 1235111428 · Enumerated 2005 · 20 years on NPI
Mullins is 1 of 81 nurse anesthetist, certified registered providers in Newnan and 1 of 2157 in Georgia.
NPI age
20 years
Enumerated 2005-11-15
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
MO, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
1755 Highway 34 E, Suite 1100
Newnan, GA 302655631
📞 7702512060
Mailing address
Po Box 73709
Newnan, GA 302713709
📞 7702512060

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783121000fax 6783123282

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    MO license #2004036293GA license #RN113064 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (MO) 917249500
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 40 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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