NPIMap

Organization Active NPI

Wellpull Corporation of Evans

  • Durable Medical Equipment & Medical Supplies
  • Evans, GA
National Provider Identifier
1154628451
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLPULL CORPORATION OF EVANS
Practice address
465 N Belair Rd
Suite 1a
Evans, GA 30809-3188
Phone
(706) 513-2424
Fax
(706) 854-2425
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Kyle Wayne Pulliam, RPH
Title
President
Phone
(706) 513-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

465 N Belair Rd
Suite 1a
Evans, GA 30809-3188

Mailing address

465 N Belair Rd
Suite 1a
Evans, GA 30809-3188
Phone (706) 513-2424

Other names 1

  • D & K MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1154628451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "SUITE 1A",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-513-2424",
            "fax_number": "706-854-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "SUITE 1A",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-513-2424",
            "fax_number": "706-854-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPULL CORPORATION OF EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-513-2424",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D & K MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.