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

Mr. Bennie Joe Mullins Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1235111428

Mr. Bennie Joe Mullins Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Newnan, Georgia. Qualified in 2004, 22 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 2 locations. Licensed in Georgia and Missouri.

Years since qualifying
22
Licensed in
GA, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1755 Highway 34 E Ste 1100
Newnan, GA 30265-5631
Phone: (770) 251-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2004036293 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN113064 (GA)

Record details

NPI number1235111428
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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