Ally Shae Mullins
NPI 1114762168ActiveIndividual· Physician Assistant· Jackson, MS
Physician Assistant with State of Mississippi - University of Mississippi Medical Center, practicing in Jackson, Mississippi. Enrolled in Medicare as practitioner - physician assistant. Lists University of Mississippi Med Center as a hospital affiliation.
Overview
| NPI | 1114762168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2024 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA00884 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MS) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- State of Mississippi - University of Mississippi Medical CenterJackson, MS · 965 clinicians
Hospital affiliation
- University of Mississippi Med CenterJackson, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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