J Mullally MD PLLC
NPI 1699084889 · Family Medicine Physician · Port Huron, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J Mullally MD PLLC is a Family Medicine Physician organization in Port Huron, MI (NPI 1699084889).
Provider details
- NPI number
- 1699084889
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beth Noble, Office Manager(810) 966-4540
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2010-10-05
Frequently asked questions
- What is J Mullally MD PLLC's NPI number?
- J Mullally MD PLLC's National Provider Identifier (NPI) is 1699084889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J Mullally MD PLLC?
- J Mullally MD PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is J Mullally MD PLLC located?
- J Mullally MD PLLC's practice location on file with NPPES is 1117 Stone St, Port Huron, MI 48060-3525.
- What is J Mullally MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for J Mullally MD PLLC is (810) 966-4540.
- Does J Mullally MD PLLC accept Medicare?
- J Mullally MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for J Mullally MD PLLC?
- The authorized official listed on J Mullally MD PLLC's NPPES record is Beth Noble, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J Mullally MD PLLC's NPI active?
- Yes — J Mullally MD PLLC's NPI (1699084889) is active in the NPPES registry as of the last update on 2010-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.