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HALEY ELLIS PULLEN
NPI 1932748894
Nurse Practitioner - Family in Vienna, GA

Active since December 24, 2019PECOS Enrolled
108 N 4TH ST, VIENNA, GA 31092(229) 231-5008 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2025, Jan 30, 2023, Dec 24, 2019 (3 updates tracked since 2019).

About Haley Ellis Pullen NPPES

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

HALEY ELLIS PULLEN (NPI 1932748894) is an individual family provider in Vienna, Georgia, licensed in Georgia (RN247380) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932748894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY ELLIS PULLEN
Location Address108 N 4TH STVienna, GA 31092-1115
Mailing Address108 N 4th StVienna, GA 31092-1115 · (229) 231-5008 · Fax (229) 201-7327
Phone(229) 231-5008
Sole ProprietorNo
Enumeration DateDecember 24, 2019
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1932748894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN247380
108 N 4TH ST, Vienna, GA 31092
Open in Google Maps ↗

Other Identifiers 1

Medicaid003228559CGA

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Ellis Pullen 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.

Medicare Billing Reassignment

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

Careconnect Health, Inc.
51 mi
Federally Qualified Health Center (FQHC)
510 ALSTON ST STE B
Richland, GA 31825
  • Reassigned Medicare billing, Georgia enrollment
  • 219 clinicians in this Medicare group
NPI 1063436624 (229) 887-3324

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 31092 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 2

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

HOMETOWN PEDIATRICS LLC
Clinic/Center (Medical Specialty)
108 N 4TH ST
VIENNA, GA 31092
Dooly County (229) 231-5008
EMILY MICHELE TURNER FNP
Nurse Practitioner (Family)
108 N 4TH ST
VIENNA, GA 31092
Dooly County (229) 231-5008

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 Haley Pullen's NPI number?

The NPI number for Haley Pullen is 1932748894. It was assigned to this individual provider in the NPPES registry on December 24, 2019.

Where is Haley Pullen located?

Haley Pullen practices at 108 N 4th St, Vienna, GA 31092. The listed phone number is (229) 231-5008.

What is Haley Pullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Haley Pullen enrolled in Medicare?

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

Which organization bills Medicare for Haley Pullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Pullen reassigns Medicare benefits to Careconnect Health, Inc. (Richland, 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 Haley Pullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Pullen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Haley Pullen 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 Haley Pullen was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.