ANTHONY L. MULLOY (DO) – Endocrinology, Diabetes & Metabolism Physician, NPI 1588773592

ANTHONY L. MULLOY (DO) is a healthcare provider. based in Augusta, Georgia. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 033411 (GA). The NPI Number for ANTHONY L. MULLOY (DO) is 1588773592

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY L. MULLOY (DO)
NPI
1588773592
Phone
(706) 828-6410
Address
1499 WALTON WAY
Enumeration Date
30 August 2006
Last Update Date
18 March 2014

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7704248222
Graduation Year
1984 (42 years ago)
PAC ID
1951466531
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20090213000484
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

238 ENDOCRINOLOGY in GA

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Provider Addresses for ANTHONY L. MULLOY (DO)

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 828-6410

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-2131

    Fax: (706) 721-1459

    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: 2009-02-13

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
I20090213000484IEndocrinologyGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2617$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up ANTHONY L. MULLOY (DO) by NPI?
Use NPI 1588773592 when you need to reference ANTHONY L. MULLOY (DO) in forms, claims, or directories.
Is ANTHONY L. MULLOY (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANTHONY L. MULLOY (DO) work in?
You can think of ANTHONY L. MULLOY (DO) as practicing within Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Does ANTHONY L. MULLOY (DO) practice in Georgia?
You will see Augusta, Georgia on file for ANTHONY L. MULLOY (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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