CODY RENALDO GULLICK FNP-C
NPI 1205319530
Nurse Practitioner - Family in Clarksdale, MS

Q: What is Cody Gullick's NPI number?

The NPI number for Cody Gullick is 1205319530. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Cody Gullick'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 Cody Gullick was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 12, 2018PECOS Enrolled

619 S STATE ST, CLARKSDALE, MS 38614(662) 812-1229 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cody Renaldo Gullick Fnp-c NPPES

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

CODY RENALDO GULLICK FNP-C (NPI 1205319530) is an individual family provider in Clarksdale, Mississippi, licensed in Mississippi (902905) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205319530

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCODY RENALDO GULLICKCredential: FNP-C

Location Address619 S STATE STClarksdale, MS 38614-6319

Mailing Address214 Cedar HtsPope, MS 38658-2875 · (662) 812-1229

Phone(662) 812-1229

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

✔ NPI 1205319530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MS · 902905

619 S STATE ST, Clarksdale, MS 38614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Renaldo Gullick Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38614 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 5

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

FAST PACE MISSISSIPPI, PLLC

Clinic/Center (Rural Health)