Individual
JERRY MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 RIVERSIDE AVE, WAYCROSS, GA 31501-7020
(912) 490-7777
Mailing address
PO BOX 532855, ATLANTA, GA 30353-2855
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754872D
—
GA
05
—
000754872H
—
GA
01
—
100165
BLUE CROSS
GA
Enumeration date
07/26/2006
Last updated
01/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us