Active NPI
Karen Patricia Bullington, MD
- Family Medicine Physician
- Marietta, GA
National Provider Identifier
1275613713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055930
- Practice address
- 3750 Palladian Village Drive, Suite 300
Fibroymyalgia and Fatigue Center
Marietta, GA 30066 - Phone
- (678) 494-7800
- Fax
- (678) 494-7990
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 055930 | GA | Primary |
Addresses
Primary practice location
3750 Palladian Village Drive, Suite 300
Fibroymyalgia and Fatigue Center
Marietta, GA 30066
Mailing address
5037 Southland Drive
Woodstock, GA 30188
Phone (404) 713-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 6, 2018 through Sep 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055930 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Fibromyalgia and Fatigue Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Marietta, GA
- NPI 1669660486
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275613713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5037 SOUTHLAND DRIVE",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188",
"telephone_number": "404-713-4925",
"fax_number": "678-494-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 PALLADIAN VILLAGE DRIVE, SUITE 300",
"address_2": "FIBROYMYALGIA AND FATIGUE CENTER",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30066",
"telephone_number": "678-494-7800",
"fax_number": "678-494-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLINGTON",
"first_name": "KAREN",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "055930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.