MR. CHARLES CLAYBORN PULLIAM II PA-C
NPI 1710060462
Physician Assistant - Medical in Siler City, NC

Q: What is Charles Pulliam's NPI number?

The NPI number for Charles Pulliam is 1710060462. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Charles Pulliam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Pulliam was last updated on April 1, 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.

Active since October 23, 2006PECOS Enrolled

475 PROGRESS BLVD, SILER CITY, NC 27344(919) 799-4000(919) 799-4011 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Charles Clayborn Pulliam Ii Pa-c NPPES

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

MR. CHARLES CLAYBORN PULLIAM II PA-C (NPI 1710060462) is an individual medical provider in Siler City, North Carolina, licensed in North Carolina (103393) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710060462

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. CHARLES CLAYBORN PULLIAM IICredential: PA-C

Location Address475 PROGRESS BLVDSiler City, NC 27344-6787

Mailing Address475 Progress BlvdSiler City, NC 27344-6787 · (919) 799-4000 · Fax (919) 799-4011

Phone(919) 799-4000

Fax(919) 799-4011

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1710060462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 103393

475 PROGRESS BLVD, Siler City, NC 27344

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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. Charles Clayborn Pulliam Ii Pa-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$86.73 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 18

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

MRS. NATALIE DANIELLE FORD VANCE PA, MPH

Physician Assistant (Medical)