DR. COLETTE DEVONA BULLOCK DO
NPI 1164612370
Internal Medicine in Sugar Hill, GA

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
5422 CUMMING HWY STE 104, SUGAR HILL, GA 30518(678) 466-9193(877) 991-5350 Get Directions Write a Review

NPPES record last updated: October 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2022, Feb 22, 2020, Oct 28, 2019 (3 updates tracked since 2019).

About Dr. Colette Devona Bullock Do NPPES

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

DR. COLETTE DEVONA BULLOCK DO (NPI 1164612370) is an individual internal medicine provider in Sugar Hill, Georgia, licensed in Georgia (75415) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1164612370
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. COLETTE DEVONA BULLOCKCredential: DO
Location Address5422 CUMMING HWY STE 104Sugar Hill, GA 30518-7027
Mailing Address5422 Cumming Hwy Ste 104Sugar Hill, GA 30518-7027 · (678) 765-7147 · Fax (877) 991-5350
Fax(877) 991-5350
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2007
Enumeration DateJuly 25, 2007
Last NPPES UpdateOctober 8, 20223 updates tracked since enumeration
NPPES CertifiedOctober 8, 2022
NPI 1164612370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 75415 Licensed in PA · OS015213 Licensed in NJ · 25MB08802400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5422 CUMMING HWY STE 104, Sugar Hill, GA 30518

Other Names 1

Former Name (1)Dr. Colette Devona Taylor Do

Accepted 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

Dr. Colette Devona Bullock Do 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 ID3375722648
PECOS Enrollment IDI20160829000772
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 30518 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

Internal Medicine
5422 CUMMING HWY STE 104
SUGAR HILL, GA 30518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colette Bullock's NPI number?

The NPI number for Colette Bullock is 1164612370. It was assigned to this individual provider in the NPPES registry on July 25, 2007. The provider is also known as Dr. Colette Devona Taylor Do.

Where is Colette Bullock located?

Colette Bullock practices at 5422 Cumming Hwy Ste 104, Sugar Hill, GA 30518. The listed phone number is (678) 466-9193.

What is Colette Bullock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Colette Bullock enrolled in Medicare?

Yes. Colette Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colette Bullock accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Colette Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colette Bullock was last updated on October 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.