Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114975505 Individual Practitioner Female Practitioner

Priscilla Elizabeth Pulliam , NP

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Priscilla Pulliam, NP is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 22 years of clinical experience since completing medical education in 2004, Priscilla Pulliam delivers high-quality medical care to the local community at 1030 RIVER OAKS DR.

Priscilla Pulliam is affiliated with Grenada Emergency Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 River Oaks Dr

Jackson, MS 392329553

Telephone 6019243719
Associated Practice Facility / Clinic
🏢 Anesthesia Consultants Pa Facility NPI 1750300836

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +8.6 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pulliam (22 Years) 22 Yrs
Jackson Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
47 47 $2166.11 $138.64
99284 Emergency department visit with moderate level of medical decision making
26 26 $1487.00 $95.72

Medical Specialties & State Licenses

CMS Verified: 2023-05-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 865613

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07338051 (MS)

Hospital & Practice Group Affiliations

Grenada Emergency Group, Llc

239 Bowling Green Rd, Lexington, MS 390955167

Phone: 6628341321

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Brooks Barham , MD

Radiology - Diagnostic Radiology

NPI 1336155399

Doctor of Medicine (M.D.)

Dr. Edgar Barham , MD

Radiology - Diagnostic Radiology

NPI 1457367401

Doctor of Medicine (M.D.)

Dr. Marvin Mccay , MD

Radiology - Body Imaging

NPI 1487669297

Doctor of Medicine (M.D.)

Sherrie Long , NP

Nurse Practitioner

NPI 1568533248

Nurse Practitioner

Dr. Joe Robbins , MD

Emergency Medicine

NPI 1578773800

Doctor of Medicine (M.D.)

Dr. Mary Moss , MD

Radiology - Diagnostic Radiology

NPI 1649286600

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Nurse Practitioner (License #865613 in MS)

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2016

Registered at 1030 RIVER OAKS DR, JACKSON, MS 392329553 (Tel: 6019243719)

📍
Updated Business Mailing Address March 30, 2016

Registered at 2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 392164500 (Tel: 6019846426)

👤
Provider Name / Credentials Updated March 30, 2016

Recorded as PRISCILLA PULLIAM, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Emergency Medicine (License #R865613 in MS)

🟢
Initial NPI Registration & Enumeration May 05, 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: 1114975505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: May 23, 2023
Sole Proprietor: No

Mailing Address

2500 North State Street, Jmm Room 2525

Jackson, MS 392164500

Phone: 6019846426

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.