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

Michael R. McMullan, MD

Individual provider Cardiovascular Disease Physician · NPI 1104857036

Michael R. McMullan, MD is an Interventional Cardiology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 1991, 35 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
35
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
Specialties on file
3
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

2500 N State St Division Of Cardiology
Jackson, MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 13195 (MS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 13195 (MS)
Adult Congenital Heart Disease Physician Taxonomy 207RA0002X · Licence 13195 (MS)

Record details

NPI number1104857036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJanuary 24, 2019
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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