Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan T Mullis, PA-C

Individual provider Medical Physician Assistant · NPI 1396945135

Mr. Jonathan T Mullis, PA-C is a Medical Physician Assistant in Macon, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1062 Forsyth St Ste 2D
Macon, GA 31201-8639
Phone: (478) 633-8391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3708 Northside Dr, Macon, GA 31210-2404 — (478) 745-4206

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005099 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 005099 (GA)

Record details

NPI number1396945135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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