MADHURYA PAVANI MULLA (DO, MPH) – Obstetrics & Gynecology Physician, NPI 1396373692
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
Provider Addresses for MADHURYA PAVANI MULLA (DO, MPH)
777 HEMLOCK ST # 165
MACON, GA 312012102
Phone: (478) 633-1000
Type: Mailing
777 HEMLOCK ST
MACON, GA 312012102
Phone: (478) 633-1000
Type: Location
2144 NW 159TH AVE
PEMBROKE PINES, FL 330282441
Phone: (954) 865-9228
Type: Mailing
11375 CORTEZ BLVD # SR50
BROOKSVILLE, FL 346135409
Phone: (352) 592-2755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Baxter Healthcare ($138).
Total Amount
$245
General + Research + Ownership
Payments
5
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $138 |
| Boston Scientific Corporation | $80 |
| Ethicon US, LLC | $28 |
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: 2025-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250731000646 | I | Obstetrics/Gynecology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery, Surgical Oncology | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Nephrology, Internal Medicine | FL | |
| Family Practice | AK | |
| Nurse Practitioner | FL |
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