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

William Thomas Mulligan Jr., FNP-BC

Individual provider Nurse Practitioner · NPI 1023868999

William Thomas Mulligan Jr., FNP-BC is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2023, 3 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2409 N Patterson St # F3
Valdosta, GA 31602-2512
Phone: (229) 433-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN292997 (GA)

Record details

NPI number1023868999
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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