TIMOTHY H MULLINIX (CRNP) – Nurse Practitioner, NPI 1851391817

TIMOTHY H MULLINIX (CRNP) is a healthcare provider. based in Jackson, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-064044 (AL). The NPI Number for TIMOTHY H MULLINIX (CRNP) is 1851391817

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY H MULLINIX (CRNP)
NPI
1851391817
Phone
(251) 246-4446
Address
PO BOX 639
Enumeration Date
29 July 2005
Last Update Date
31 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512464446
Graduation Year
1994 (32 years ago)
PAC ID
1456486034
Group Practice PAC ID
6800191107
Professional Enrollment ID
I20100322000382
Address ID
AL365452423JA227XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for TIMOTHY H MULLINIX (CRNP)

  • 639, Jackson Pond Road, Bingham, Somerset County, Maine, 04920, United States

    227 HOSPITAL DRIVE

    JACKSON, AL 365450639

    Phone: (251) 246-4446

    Fax: (251) 246-5111

    Type: Mailing

  • Hospital Drive, Bradie, Jackson, Hinds County, Mississippi, 39204, United States

    JACKSON, AL 365452423

    Phone: (251) 246-4446

    Fax: (251) 246-5111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $656.

Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($326).

Total Amount

$656

General + Research + Ownership

Payments

28

Total payment records

General Amount

$656

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100322000382INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800191107View full group profile
NameSpecialtyState
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is TIMOTHY H MULLINIX (CRNP) listed with a National Provider Identifier?
Yes — TIMOTHY H MULLINIX (CRNP) has NPI 1851391817 on file in the registry.
Is TIMOTHY H MULLINIX (CRNP) still an active registrant?
TIMOTHY H MULLINIX (CRNP) carries an active NPI according to the public dataset.
What expertise is attributed to TIMOTHY H MULLINIX (CRNP)?
TIMOTHY H MULLINIX (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TIMOTHY H MULLINIX (CRNP) located near Jackson?
TIMOTHY H MULLINIX (CRNP) currently maps to Jackson, Alabama in this extract.
When was this NPI issued?
Enumeration for TIMOTHY H MULLINIX (CRNP) is noted as July 29, 2005 where the registry provides it.

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