NPIMap

Individual provider Active NPI

Luis Alfredo Wulff, M.D.

  • Pulmonary Disease Physician
  • Thomasville, GA
National Provider Identifier
1144678392
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
95790 Issued in GA
Practice address
119 W Hill St
Thomasville, GA 31792-6618
Phone
(229) 225-1900
NPI assigned
May 27, 2016
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 95790 GA Primary

Addresses

Primary practice location

119 W Hill St
Thomasville, GA 31792-6618

Mailing address

119 W Hill St
Thomasville, GA 31792-2803
Phone (229) 225-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814003030 GA Practitioner - Pulmonary Disease 2163714742 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians
Southland Hospitalist Group, LLCGroup PAC ID 8022272913, 22 clinicians

Practice addresses (Care Compare)

2705 E Pinetree Blvd
Suite C
Thomasville, GA 31792-4875
Phone (229) 584-5731

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Multi-Specialty CurrentSince Aug 3, 2023 Accepting new patients
John D Archbold Memorial Hospital Inc Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Privia Medical Group of Georgia LLC Multi-Specialty CurrentSince Aug 3, 2023 Accepting new patients
Southland Hospitalist Group, LLC Multi-Specialty CurrentSince May 22, 2024 Accepting new patients
Pathology Associates, P.C. Multi-Specialty Current Accepting new patients
Archbold Medical Group, Inc. Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Archbold Medical Group, Inc. Pulmonary Disease CurrentSince Mar 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Multi-Specialty Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

119 W Hill St
Thomasville, GA 31792
Phone (229) 225-1900

2705 E Pinetree Blvd
Ste C
Thomasville, GA 31792
Phone (229) 228-7008

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1144678392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W HILL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317922803",
            "telephone_number": "229-225-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W HILL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926618",
            "telephone_number": "229-225-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "LUIS",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "95790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.