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Credo Health Group, LLC

Family Medicine Physician in Fort Wayne, IN · enumerated 2016 · authorized official Andrew Mullally, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407203672

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Registry record

Entity type Organization (Type 2)
Legal business name Credo Health Group, LLC
Other name <Unavail>
Practice address 10050 Auburn Park Dr, Fort Wayne, IN, 46825
Phone (260) 432-6459
Fax (260) 240-5284
Enumeration date May 18, 2016
Last updated in NPPES Feb 14, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01074259A (IN) Primary

Authorized official

Name Andrew Mullally
Title Owner
Phone (260) 445-5829

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Credo Health Group, LLC?
The NPI for Credo Health Group, LLC is 1407203672, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Credo Health Group, LLC?
NPPES lists Andrew Mullally (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-14.