Ally Shae Mullins
Physician Assistant · Jackson, MS
Ally Shae Mullins is a physician assistant with a practice address in Jackson, Mississippi, and NPI 1114762168, issued on Jun 29, 2024. Check the license (Mississippi PA00884, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ally Shae Mullins
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA00884 MS
Self-reported in NPPES; status is on the state search - Practice location
- 2500 N State St, Jackson, MS 39216
- Phone
- (601) 984-1000
- Enumerated
- Jun 29, 2024
- Record last updated
- Mar 10, 2025
- Medicare enrollment
- Enrolled (PECOS I20250528000036); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 338 in Mississippi → Look up another NPI →
Also registered at 2500 N State St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Rania AbdoStudent in an Organized Health Care Education/Training Program1255168787
- John AbernathyInternal Medicine Physician1700670650
- Jordan Abney, MDEmergency Medicine Physician1275238214
- Hassan Abou AdmaStudent in an Organized Health Care Education/Training Program1811826688
Verify Ally Shae Mullins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license PA00884Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- State OF Mississippi-University OF Mississippi Medical CenterJackson, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ally Shae Mullins among 338 physician assistant records in Mississippi
Ally Shae Mullins is one of 338 physician assistant records with a practice address in Mississippi. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 72% of them.
- NPI issued2024 · 72% of these records are older, 16% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2025 · median 2020 among the 223 with a school on file
- Record last updated2025 · 31% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physician Assistant providers in Mississippi
There are 338 physician assistant records in Mississippi.
All 338 in Mississippi → Every provider in Jackson → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jacob Carpenter, PA-CJackson, MS 392161922541093
- Ronald Eller, PAJackson, MS 392161518992833
- Amber Goodman, PA-CJackson, MS 392161013305895
- Randolph Henderson, PHYSICIAN ASSISTANTJackson, MS 392161366530545
- Holly Hutcheson, PAJackson, MS 392161669832150
- Stephanie Keith, PA-CJackson, MS 392161023555190
- Eric Lenoir, PAJackson, MS 392161386639359
- Rennie Mills, PHYSICIAN ASSISTANTJackson, MS 392161942307400
Common questions
What is Ally Shae Mullins's NPI number?
Ally Shae Mullins's National Provider Identifier (NPI) is 1114762168, issued on Jun 29, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Ally Shae Mullins located?
The NPPES record lists a practice address at 2500 N State St, Jackson, MS, 39216. Phone: (601) 984-1000. Providers update this record themselves, so call before visiting.
How can I verify Ally Shae Mullins's license?
NPPES lists Mississippi license number PA00884, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.