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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: November 01, 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, maintains a secondary practice location in Stockbridge, and is a graduate of Other (2023).

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
Phone(678) 688-8140
Fax(470) 204-8997
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanita S Pulliam Msn, Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406327113
PECOS Enrollment IDI20260729002647
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.

Medicare Billing Reassignment

Medicare enrollment records show Vanita Pulliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vascular Wellness Center
Same address
Vascular Surgery
614 S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1609607555 (678) 688-8140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. VICTOR C NJOKU M.D.
Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 688-8140
VASCULAR WELLNESS CENTER
Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 688-8140
DR. ERIC D FERRARA DDS
Dentist (Oral and Maxillofacial Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-1010
SOUTHERN ORAL SURGERY PC
Dentist (Oral and Maxillofacial Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-1010

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.

Which organization bills Medicare for Vanita Pulliam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanita Pulliam reassigns Medicare benefits to Vascular Wellness Center (Griffin, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vanita Pulliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.