MR. RONALD GERALD MULLIS (PA-C) – Medical Physician Assistant, NPI 1023114774
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MR. RONALD GERALD MULLIS (PA-C)
14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States
SUITE 190
SUNRISE, FL 333232865
Phone: (800) 424-3672
Fax: (954) 377-3042
Type: Mailing
Northeast Georgia Medical Center Barrow, 316, North Broad Street, Winder, Barrow County, Georgia, 30680, United States
WINDER, GA 306802150
Phone: (770) 867-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180814002417 | I | Physician Assistant | GA | TBD |
| I20260127003517 | I | Physician Assistant | AL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 26 | 26 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33323)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Emergency Medicine | SC | |
| Emergency Medicine | AL | |
| Emergency Medicine | AL | |
| Emergency Medicine | MS | |
| Emergency Medicine | MS | |
| Emergency Medicine | AL | |
| Emergency Medicine | AL |
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