OrganizationActive
Olin Mauldin M.D., LLC
NPI 1104227628 · Psychiatry Physician · Jacksonville, FL
Olin Mauldin M.D., LLC is a Psychiatry Physician organization in Jacksonville, FL (NPI 1104227628).
Provider details
- NPI number
- 1104227628
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Lu, Credentialing Coordinator(904) 332-7431
- License
- ME54094 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4217 Baymeadows Rd
Suite 3
Jacksonville, FL 32217-4676
Phone: (904) 332-7431
Fax: (904) 332-7408
Street-level locationGet directions
Mailing address
4217 Baymeadows Rd
Jacksonville, FL 32217-4676
Registry dates
- Enumerated
- 2014-09-16
- Last updated
- 2014-09-29
Frequently asked questions
- What is Olin Mauldin M.D., LLC's NPI number?
- Olin Mauldin M.D., LLC's National Provider Identifier (NPI) is 1104227628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olin Mauldin M.D., LLC?
- Olin Mauldin M.D., LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Olin Mauldin M.D., LLC located?
- Olin Mauldin M.D., LLC's practice location on file with NPPES is 4217 Baymeadows Rd, Jacksonville, FL 32217-4676.
- What is Olin Mauldin M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Olin Mauldin M.D., LLC is (904) 332-7431.
- Who is the authorized official for Olin Mauldin M.D., LLC?
- The authorized official listed on Olin Mauldin M.D., LLC's NPPES record is Wendy Lu, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olin Mauldin M.D., LLC's NPI active?
- Yes — Olin Mauldin M.D., LLC's NPI (1104227628) is active in the NPPES registry as of the last update on 2014-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.