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WILLIAM H PULLEN JR. MD
NPI 1629009105
General Practice in Dalton, GA

Active since July 05, 2006PECOS Enrolled
1200 MEMORIAL DR, DALTON, GA 30720(706) 278-2105(865) 291-3228 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William H Pullen Jr. Md NPPES

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

WILLIAM H PULLEN JR. MD (NPI 1629009105) is an individual general practice provider in Dalton, Georgia, licensed in Georgia (017270) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629009105
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWILLIAM H PULLEN JR.Credential: MD
Location Address1200 MEMORIAL DRDalton, GA 30720-2529
Mailing Address1200 Memorial DrDalton, GA 30720-2529 · (706) 272-6596 · Fax (706) 272-6270
Phone(706) 278-2105
Fax(865) 291-3228
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1629009105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 017270
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 017270 (GA)
1200 MEMORIAL DR, Dalton, GA 30720
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Other Identifiers 2

Medicaid000139609EGA
OtherP00242810GA · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William H Pullen Jr. Md 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers15 claims400 services$2.84 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers14 claims410 services$4.44 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. JESSICA SANDERS FNP
Nurse Practitioner (Family)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6000
CAROL LAWRENCE CRNA
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 259-4435
AMY FOUTS DNP, BSN, AGACNP-BC
Nurse Practitioner (Acute Care)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-7000
QUENTIN SMITH MD
Emergency Medicine
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6150
RALPH WEAVER CRNA
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 259-4435
JOELLA MATHENY ATC
Specialist/Technologist (Athletic Trainer)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 217-2273
FRED BARRY HODGES III MD
Orthopaedic Surgery
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6596
LAUREN HURST
Physical Therapy Assistant
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6420

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 William Pullen's NPI number?

The NPI number for William Pullen is 1629009105. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is William Pullen located?

William Pullen practices at 1200 Memorial Dr, Dalton, GA 30720. The listed phone number is (706) 278-2105.

What is William Pullen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is William Pullen enrolled in Medicare?

Yes. William Pullen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Pullen was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.