Pauline Marie Bellecci, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032345 Issued in GA

Practice address

3424 Hwy 252 East
Folkston, GA 31537

Phone

(912) 496-6025

NPI assigned

Apr 8, 2006

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Solantic LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1609822592
  NPD (past)
• Southeastern Retina Specialists, PA

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1427436187
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1457314742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315020777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 HWY 252 EAST",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "31537",
            "telephone_number": "912-496-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLECCI",
        "first_name": "PAULINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LICENSE",
            "identifier": "N6950",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "ME95858",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "110045694",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "032345",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maged Edward Abdelmalik, M.D.
• Access Dermpath, Inc.
• Amelia Medical Services, LLC (Amelia Medical Care, Folkston)
• Betty Barber, COTA
• Bennett's Hometown Pharmacy, LLC-Folkston
• Vanessa Bieber, CRNP
• Bianca Antoinette Bonilla, 224Z00000X
• Marcus Allen Bowen, NP
• Charlton County Board of Education

• Internal Medicine Physician in Folkston, GA
• Providers in Folkston, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.