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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMBER BULLOCK
NPI 1417880824
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since June 05, 2026
1120 15TH ST, AUGUSTA, GA 30912(678) 709-7438 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amber Bullock NPPES

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

AMBER BULLOCK (NPI 1417880824) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (113754) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1417880824
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMBER BULLOCK
Location Address1120 15TH STAugusta, GA 30912-0006
Mailing Address1040 Alexander Dr Apt 6222Augusta, GA 30909-0288
Phone(678) 709-7438
Sole ProprietorYes
Enumeration DateJune 5, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1417880824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 113754
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST, Augusta, GA 30912
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Other Providers at the Same Location NPPES 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Amber Bullock's NPI number?

The NPI number for Amber Bullock is 1417880824. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Amber Bullock located?

Amber Bullock practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (678) 709-7438.

What is Amber Bullock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amber Bullock was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.