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DR. PATRICK NEAL PULLIAM M.D.
NPI 1215944863
Pediatrics in Stockbridge, GA

Active since August 02, 2006
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281(770) 389-4543(770) 474-0566 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, Mar 17, 2018, Dec 18, 2017 (3 updates tracked since 2017).

About Dr. Patrick Neal Pulliam M.d. NPPES

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

DR. PATRICK NEAL PULLIAM M.D. (NPI 1215944863) is an individual pediatrics provider in Stockbridge, Georgia, licensed in Georgia (050246) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215944863
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PATRICK NEAL PULLIAMCredential: M.D.
Location Address245 COUNTRY CLUB DR BLDG 200AStockbridge, GA 30281-7212
Mailing Address245 Country Club Dr Bldg 200aStockbridge, GA 30281-7212 · (770) 389-4543 · Fax (770) 474-0566
Phone(770) 389-4543
Fax(770) 474-0566
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1215944863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 050246
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
245 COUNTRY CLUB DR BLDG 200A, Stockbridge, GA 30281
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Other Identifiers 1

Medicaid000909906CGA

Other Providers at the Same Location NPPES 2

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

REBECCA ANNE SMITH CPNP
Nurse Practitioner (Pediatrics)
245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281
Henry County (770) 389-4543
COVENANT CARE PEDIATRICS PC
Pediatrics
245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281
Henry County (770) 389-4543

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 Patrick Pulliam's NPI number?

The NPI number for Patrick Pulliam is 1215944863. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Patrick Pulliam located?

Patrick Pulliam practices at 245 Country Club Dr Bldg 200A, Stockbridge, GA 30281. The listed phone number is (770) 389-4543.

What is Patrick Pulliam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Patrick Pulliam was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.