NPIMap

Individual provider Active NPI

May Luz Falcon Bullecer, M.D.

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1265500862
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050947 Issued in GA
Practice address
1500 Oglethorpe Ave
Suite 3200
Athens, GA 30606-2179
Phone
(706) 549-8931
Fax
(706) 549-0088
NPI assigned
Dec 1, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050947 GA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 050947 GA

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 3200
Athens, GA 30606-2179

Mailing address

1500 Oglethorpe Ave
Suite 3200
Athens, GA 30606-2179
Phone (706) 549-8931

Other identifiers 1

IdentifierTypeStateIssuer
00955149AMedicaidGA

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
I20040210000366 GA Practitioner - Internal Medicine 0042120784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Geriatrics and Internal Medicine, PCGroup PAC ID 3971601899, 3 clinicians

Practice addresses (Care Compare)

1500 Oglethorpe Ave
Athens, GA 30606-2190
Phone (706) 549-8931

696 Breedlove Dr
Suite a
Monroe, GA 30655-2052
Phone (770) 207-5677

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Geriatrics and Internal Medicine, PC Geriatric Medicine CurrentSince Aug 1, 2007 Accepting new patients
Marilyn Digamon Beltran Past Accepting new patients
Northeast Internal Medicine, P.C. Internal Medicine Past Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 3200
Athens, GA 30606
Phone (706) 549-8931

696 Breedlove Dr
Ste A
Monroe, GA 30655
Phone (770) 207-5677

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDDAA/Endpoint/EJDDAA

Organizations & group practices 3

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 8

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1265500862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-549-8931",
            "fax_number": "706-549-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-549-8931",
            "fax_number": "706-549-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLECER",
        "first_name": "MAY LUZ",
        "middle_name": "FALCON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050947",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "050947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955149A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.