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

Mr. John William Mullens IV, AGACNP

Individual provider Registered Nurse · NPI 1710684428

Mr. John William Mullens IV, AGACNP is a Nurse Practitioner in Gainesville, Georgia. Graduated from Mercer University School of Medicine in 2022, 4 years ago. Practices with Georgia Heart Institute LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Phone: (770) 534-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN289159 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN289159 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2023000291 (GA)

Record details

NPI number1710684428
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Georgia Heart Institute Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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