MR. TY A. BULLINGTON NP
NPI 1407015951
Nurse Practitioner - Pediatrics in Duluth, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since June 09, 2008PECOS Enrolled

3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096(404) 365-0966 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Ty A. Bullington Np NPPES

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

MR. TY A. BULLINGTON NP (NPI 1407015951) is an individual pediatrics provider in Duluth, Georgia, licensed in Georgia (APRN-NP242862) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407015951

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameMR. TY A. BULLINGTONCredential: NP

Location Address3650 STEVE REYNOLDS BLVDDuluth, GA 30096-4506

Mailing Address1074 Peachtree Walk Ne Unit B211Atlanta, GA 30309-3949 · (615) 293-2958

Phone(404) 365-0966

Sole ProprietorNo

Enumeration DateJune 9, 2008

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1407015951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in GA · APRN-NP242862

3650 STEVE REYNOLDS BLVD, Duluth, GA 30096

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ty A. Bullington Np 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 30096 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.