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Dr. Patrick Neal Pulliam , MD

Pediatrics β€’ Stockbridge, GA

Active NPI 1215944863 Individual Practitioner Male Practitioner
Practice location in NPPES

245 Country Club Dr Bldg 200a
Stockbridge, GA 302817212

Call 7703894543 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

245 Country Club Dr Bldg 200a

Stockbridge, GA 302817212

Telephone 7703894543
Fax 7704740566
Organization at the Same NPPES Address or Phone
Covenant Care Pediatrics Pc Facility NPI 1902941503

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2019

All general payments: $32.60 across 2 records.

By nature of payment

  • Food and Beverage: $32.60 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $19.07 across 1 record.
  • Cranial Technologies, Inc: $13.53 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stockbridge and Georgia

25 active clinicians are listed under Pediatrics with a practice address in Stockbridge, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stockbridge

4% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $32.60.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $19.07
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $13.53

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
000909906C (GA)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 18, 2017

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

πŸ“
Updated Business Mailing Address December 18, 2017

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

πŸ‘€
Provider Name / Credentials Updated December 18, 2017

Recorded as PATRICK PULLIAM, M.D.

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

Pediatrics (license number reported to NPPES: GA 050246)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

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

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as PATRICK PULLIAM, M.D.

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

Pediatrics (license number reported to NPPES: GA 050246)

🟒
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

Other Pediatrics Specialists in Stockbridge

Healthcare providers in Stockbridge

Mailing Address

245 Country Club Dr Bldg 200a

Stockbridge, GA 302817212

Phone: 7703894543

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.