Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Leann Mullen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992267306

Ebony Leann Mullen, MD is a Pediatric Medicine in Clarksville, Tennessee. Graduated from Meharry Medical College School of Medicine in 2018, 8 years ago. Practices with Premier Medical Group PC, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
Meharry Medical College School of Medicine
Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

490 Dunlop Ln
Clarksville, TN 37040-5007
Phone: (931) 245-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Westview Dr Sw, Atlanta, GA 30310-1458 — (404) 756-1357

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 65528 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992267306
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing addressPo Box 3799, Clarksville, TN 37043-3799

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Premier Medical Group Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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