MR. BENNIE JOE JR. MULLINS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235111428

MR. BENNIE JOE JR. MULLINS (CRNA) is a healthcare provider. based in Lawrenceville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN113064 (GA). The NPI Number for MR. BENNIE JOE JR. MULLINS (CRNA) is 1235111428

Main info

Male
22 Years Of Experience
Name
MR. BENNIE JOE JR. MULLINS (CRNA)
NPI
1235111428
Phone
(678) 312-1000
Address
1000 Medical Center Blvd
Enumeration Date
15 November 2005
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707021806
Graduation Year
2004 (22 years ago)
PAC ID
9739122052
Group Practice PAC ID
4284917204
Professional Enrollment ID
I20170420001427
Address ID
GA301061121AU3950XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MR. BENNIE JOE JR. MULLINS (CRNA)

  • 1000 Medical Center Blvd

    Lawrenceville, GA 300467694

    Phone: (678) 312-1000

    Fax: (678) 312-3282

    Type: Location

  • Old Atlanta Highway, Newnan, Coweta County, Georgia, 30263, United States

    SUITE 1100

    NEWNAN, GA 302655631

    Phone: (770) 251-2060

    Type: Location

  • PO BOX 73709

    NEWNAN, GA 302713709

    Phone: (770) 251-2060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2019-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20090811000467ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20170420001427ICertified Registered Nurse Anesthetist (Crna)GATBD
I20190809002667ICertified Registered Nurse Anesthetist (Crna)ALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope2424$0
00142Anesthesia for lens surgery1614$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 4284917204View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
Anesthesiology AssistantNC
Anesthesiology AssistantWI
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)AP
A N E S T H E S I O L O G YGA
Anesthesiology AssistantWI
Anesthesiology, Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify MR. BENNIE JOE JR. MULLINS (CRNA) for billing?
Administrative and clinical systems typically use NPI 1235111428 for MR. BENNIE JOE JR. MULLINS (CRNA).
Quick check: is MR. BENNIE JOE JR. MULLINS (CRNA) active?
Public NPPES data shows MR. BENNIE JOE JR. MULLINS (CRNA) with an active NPI status right now.
What does the directory say MR. BENNIE JOE JR. MULLINS (CRNA) does?
Insurance directories may phrase it differently, but here MR. BENNIE JOE JR. MULLINS (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BENNIE JOE JR. MULLINS (CRNA)?
MR. BENNIE JOE JR. MULLINS (CRNA) is associated with Lawrenceville, Georgia in the same public data insurers reference.
Why is information missing for MR. BENNIE JOE JR. MULLINS (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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