MISS FLORTASHA LARAY PULLOM FNP-BC
NPI 1043559529
Nurse Practitioner - Family in Stone Mountain, GA

Q: What is Flortasha Pullom's NPI number?

The NPI number for Flortasha Pullom is 1043559529. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Q: What is Flortasha Pullom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Flortasha Pullom was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2013PECOS EnrolledAccepts Medicare Assignment

1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087(470) 444-3134(470) 276-4370 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Jan 8, 2026, May 8, 2025 and 2 more (5 updates tracked since 2018).

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About Miss Flortasha Laray Pullom Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS FLORTASHA LARAY PULLOM FNP-BC (NPI 1043559529) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (APRN-NP331904) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043559529

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS FLORTASHA LARAY PULLOMCredential: FNP-BC

Location Address1825 ROCKBRIDGE RD STE 15BStone Mountain, GA 30087-3306

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730

Phone(470) 444-3134

Fax(470) 276-4370

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 4, 2013

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1043559529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP331904

Also ListedRegistered NurseTaxonomy 163W00000X · License 201141801RN (OR)

Also ListedFamily MedicineTaxonomy 207Q00000X · License RN331904 (GA), 2018017288 (OR)

1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087

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Secondary Practice Locations 2

Location 13360 Shelby Ln Ste 1030East Point, GA 30344-5745 · Phone (943) 230-3977 ext. 21977 · Fax (404) 868-5691

Location 22732 Candler RdDecatur, GA 30034-1410 · Phone (470) 444-3133 · Fax (470) 276-4051

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Flortasha Laray Pullom Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769729540

PECOS Enrollment IDI20250523001854

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KENISHA FRANCISCO APRN

Nurse Practitioner (Family)