Individual provider Active NPI

Ester Teresa Pulliam, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grayson, GA
National Provider Identifier
1184978785
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP225081 Issued in GA
Practice address
1637 Athens Hwy
Grayson, GA 30017-1768
Phone
(678) 344-8268
Fax
(888) 627-6444
NPI assigned
Nov 4, 2012
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2735972 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP225081 GA Primary

Addresses

Primary practice location

1637 Athens Hwy
Grayson, GA 30017-1768

Mailing address

1637 Athens Hwy
Grayson, GA 30017-1768
Phone (678) 344-8268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140207001631 FL Practitioner - Nurse Practitioner 7113156423
I20231102000918 GA Practitioner - Nurse Practitioner 7113156423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

3991 Stone Mountain Hwy
Suite 203
Snellville, GA 30039-3929
Phone (770) 978-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2735972FLMDPsychiatric/Mental Health Nurse Practitioner
APRN-NP225081GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Healing Center PC CurrentSince Sep 17, 2023 Accepting new patients
Creative Life Center, LLC CurrentSince Sep 17, 2023 Accepting new patients
Personal Recovery Network LLC CurrentSince Nov 6, 2023 Accepting new patients
Ace-Agency for Community Empowerment , Inc. PastSince May 2, 2016 Accepting new patients

Locations

2801 Buford Hwy NE
Ste 100
Brookhaven, GA 30329
Phone (678) 820-7830

1637 Athens Hwy
Grayson, GA 30017
Phone (678) 344-8268

3991 Stone Mountain Hwy
#203
Snellville, GA 30039
Phone (770) 978-9393

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.esterpulliam@124220.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1184978785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "678-344-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "678-344-8268",
            "fax_number": "888-627-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "ESTER",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2735972",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP225081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

Verify at the official NPI Registry.