CALVIN JEFFREY MULLINS (MD) – Family Medicine Physician, NPI 1124011747

CALVIN JEFFREY MULLINS (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 21895 (TN). The NPI Number for CALVIN JEFFREY MULLINS (MD) is 1124011747

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
CALVIN JEFFREY MULLINS (MD)
NPI
1124011747
Phone
(901) 516-0881
Address
PO BOX 1000
Enumeration Date
30 August 2005
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9013880115
Graduation Year
1989 (37 years ago)
PAC ID
6507977170
Group Practice PAC ID
0941480131
Professional Enrollment ID
I20101022000042
Address ID
TN380024893LA2961XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for CALVIN JEFFREY MULLINS (MD)

  • PO BOX 1000

    DEPT # 978

    MEMPHIS, TN 381480001

    Phone: (901) 516-0881

    Fax: (901) 516-0528

    Type: Mailing

  • 7655, Poplar Avenue, Germantown, Shelby County, Tennessee, 38138, United States

    BLDG A, SUITE 340

    GERMANTOWN, TN 381383957

    Phone: (901) 752-2300

    Fax: (901) 516-1399

    Type: Location

  • 1211 UNION AVE STE 330

    MEMPHIS, TN 381046655

    Phone:

    Type: Mailing

  • 8115 COUNTRY VILLAGE DR

    CORDOVA, TN 380162030

    Phone: (901) 752-2300

    Fax: (901) 752-2348

    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: 2010-10-22

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
I20101022000042IFamily PracticeTNTBD

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 minutes878423$0
99213Established patient office or other outpatient visit, 20-29 minutes156129$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5050$0
G0444Annual depression screening, 5 to 15 minutes4242$0
99215Established patient office or other outpatient visit, 40-54 minutes3529$0
View full utilization report →

Insurance plans in this area (ZIP 38148)

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Provider's Procedures

CALVIN JEFFREY MULLINS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN90670Pneumococcal vaccine for injection into muscle3838

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: 0941480131View full group profile

Reviews

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Frequently asked questions

Can I cross-check CALVIN JEFFREY MULLINS (MD) using NPI 1124011747?
NPI 1124011747 belongs to CALVIN JEFFREY MULLINS (MD); compare other details if you need extra assurance.
Would CALVIN JEFFREY MULLINS (MD) appear as active to a payer?
You can treat CALVIN JEFFREY MULLINS (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CALVIN JEFFREY MULLINS (MD)?
At a glance, CALVIN JEFFREY MULLINS (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CALVIN JEFFREY MULLINS (MD) located near Memphis?
CALVIN JEFFREY MULLINS (MD) currently maps to Memphis, Tennessee in this extract.
When was this NPI issued?
Enumeration for CALVIN JEFFREY MULLINS (MD) is noted as August 30, 2005 where the registry provides it.

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