VANITA S PULLIAM MSN, ACNP
NPI 1902747967
Nurse Practitioner - Acute Care in Griffin, GA

Active since April 03, 2026PECOS Enrolled
614 S 8TH ST, GRIFFIN, GA 30224(678) 688-8140(470) 204-8997 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vanita S Pulliam Msn, Acnp NPPES

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

VANITA S PULLIAM MSN, ACNP (NPI 1902747967) is an individual acute care provider in Griffin, Georgia, licensed in Georgia (APRN-NP276487) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stockbridge.

NPPES Registry Identity

NPI1902747967
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameVANITA S PULLIAMCredential: MSN, ACNP
Location Address614 S 8TH STGriffin, GA 30224-4214
Mailing Address430 Rock View LnCovington, GA 30016-8222 · (678) 688-8140 · Fax (470) 204-8997
Fax(470) 204-8997
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
NPI 1902747967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · APRN-NP276487
614 S 8TH ST, Griffin, GA 30224

Secondary Practice Location 1

Location 1290 Country Club Dr Ste 240Stockbridge, GA 30281-9093 · Phone (678) 688-8140 · Fax (470) 204-8997

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vanita S Pulliam Msn, Acnp 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 30224 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 4

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

Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Dentist (Oral and Maxillofacial Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Dentist (Oral and Maxillofacial Surgery)
614 S 8TH ST
GRIFFIN, GA 30224

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 Vanita Pulliam's NPI number?

The NPI number for Vanita Pulliam is 1902747967. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Vanita Pulliam located?

Vanita Pulliam practices at 614 S 8th St, Griffin, GA 30224. The listed phone number is (678) 688-8140.

What is Vanita Pulliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Vanita Pulliam enrolled in Medicare?

Yes. Vanita Pulliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanita Pulliam was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.