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BULLOCH PEDIATRICS GROUP, LLC
NPI 1720341514
Nurse Practitioner - Pediatrics in Statesboro, GA

Active since June 18, 2012
1497 FAIR RD, SUITE 200, STATESBORO, GA 30458(912) 871-4847(912) 871-5562 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bulloch Pediatrics Group, Llc NPPES

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

BULLOCH PEDIATRICS GROUP, LLC (NPI 1720341514) is a healthcare organization registered as a pediatrics in Statesboro, Georgia and active in the NPI registry since June 2012. The organization lists Kristen T Hart, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1720341514
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBULLOCH PEDIATRICS GROUP, LLC
Location Address1497 FAIR RD, SUITE 200Statesboro, GA 30458-0822
Mailing Address1497 Fair Rd, Suite 200Statesboro, GA 30458-0822 · (912) 871-4847 · Fax (912) 871-5562
Phone(912) 871-4847
Fax(912) 871-5562
Organization SubpartNo
Authorized OfficialKristen T HartPractice Manager · (912) 871-4847
Enumeration DateJune 18, 2012
✔ NPI 1720341514 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 · RN104429
1497 FAIR RD, Statesboro, GA 30458
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 19

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

IAN C MUNGER DO
Emergency Medicine
1497 FAIR RD
STATESBORO, GA 30458
Bulloch County (912) 486-1111
CESAR CLINIC, LLC
Specialist
1497 FAIR RD, SUITE 201
STATESBORO, GA 30458
Bulloch County (912) 871-8500
OGEECHEE OB-GYN, P.C.
Obstetrics & Gynecology
1497 FAIR RD, SUITE 300
STATESBORO, GA 30458
Bulloch County (912) 871-6206
EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
Pediatrics
1497 FAIR RD, SUITE 206
STATESBORO, GA 30458
Bulloch County (912) 871-5437
DR. AJAY JAIN MD
Internal Medicine (Cardiovascular Disease)
1497 FAIR RD, SUITE 305
STATESBORO, GA 30458
Bulloch County (912) 681-2273
MR. CLARE D HEIDLER IV CRNA
Nurse Anesthetist, Certified Registered
1497 FAIR RD, SUITE 102
STATESBORO, GA 30458
Bulloch County (912) 486-1973
OGEECHEE OB-GYN, P.C.
Nurse Practitioner (Obstetrics & Gynecology)
1497 FAIR RD, SUITE 300
STATESBORO, GA 30458
Bulloch County (912) 871-6206
JOHN EDWARD MARTIN SR. MD
Surgery
1497 FAIR RD, SUITE 103
STATESBORO, GA 30458
Bulloch County (912) 486-1163

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 Bulloch Pediatrics Group, LLC's NPI number?

The NPI number for Bulloch Pediatrics Group, LLC is 1720341514. It was assigned to this organization in the NPPES registry on June 18, 2012.

Where is Bulloch Pediatrics Group, LLC located?

Bulloch Pediatrics Group, LLC is located at 1497 Fair Rd Suite 200, Statesboro, GA 30458. The listed phone number is (912) 871-4847.

What is Bulloch Pediatrics Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Bulloch Pediatrics Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bulloch Pediatrics Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bulloch Pediatrics Group, LLC was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.