Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215944863 Individual Practitioner Male Practitioner

Dr. Patrick Neal Pulliam , MD

Pediatrics • Stockbridge, GA

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Pulliam, MD is a registered healthcare professional specializing in Pediatrics in Stockbridge, GA. Practice services are available at 245 COUNTRY CLUB DR BLDG 200A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

245 Country Club Dr Bldg 200a

Stockbridge, GA 302817212

Telephone 7703894543
Fax 7704740566
Associated Practice Facility / Clinic
🏢 Covenant Care Pediatrics Pc Facility NPI 1902941503

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stockbridge, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Stockbridge, GA (2326 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 050246

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000909906C (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rebecca Smith , CPNP

Nurse Practitioner - Pediatrics

NPI 1366117657

Certified Pediatric Nurse Practitioner

Theresa Schornack , NURSE PRACTITIONER

Nurse Practitioner - Pediatrics

NPI 1508991134

NURSEPRACTITIONER

Jessica Haynie

Nurse Practitioner - Pediatrics

NPI 1982182374

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2017

Registered at 245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 302817212 (Tel: 7703894543)

📍
Updated Business Mailing Address December 18, 2017

Registered at 245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 302817212 (Tel: 7703894543)

👤
Provider Name / Credentials Updated December 18, 2017

Recorded as PATRICK PULLIAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2017

Pediatrics (License #050246 in GA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 130 MEDICAL WAY, SUITE B, STOCKBRIDGE, GA 302819088 (Tel: 7703894543)

📍
Updated Business Mailing Address July 08, 2007

Registered at 130 MEDICAL WAY, SUITE B, STOCKBRIDGE, GA 302819088 (Tel: 7703894543)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PATRICK PULLIAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #050246 in GA)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215944863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: October 09, 2023
Sole Proprietor: No

Mailing Address

245 Country Club Dr Bldg 200a

Stockbridge, GA 302817212

Phone: 7703894543

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.