Individual provider Active NPI

Jessica Strickland Pulliam, P. A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1467653790
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030535 Issued in NY
Practice address
489 5TH Ave FL 3
New York, NY 10017-6145
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 31, 2007
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA95315 MA
Physician Assistant 363A00000X 50.007998RX OH
Physician Assistant 363A00000X PA9113088 FL
Physician Assistant 363A00000X PA15950 TX
Physician Assistant 363A00000X PA61581028 WA
Physician Assistant 363A00000X PA031857 DC
Physician Assistant 363A00000X 5079 TN
Physician Assistant 363A00000X 0010-00910 NC
Physician Assistant 363A00000X 10114 GA
Physician Assistant 363A00000X 6176 CT
Physician Assistant 363A00000X 085010322 IL
Physician Assistant 363A00000X C0007799 MD
Physician Assistant 363A00000X 10004131A IN
Physician Assistant 363A00000X 0110007066 VA
Physician Assistant 363A00000X 030535 NY Primary

Addresses

Primary practice location

489 5TH Ave FL 3
New York, NY 10017-6145

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

6450 US Highway 1
Rockledge, FL 32955-5747
Phone (321) 434-1512

Other practice location 2

570 New Waverly Pl
St 210
Cary, NC 27518-7405
Phone (919) 859-3373

Other identifiers 2

IdentifierTypeStateIssuer
0010 00910OtherNCPA-C
MD042OtherFLFL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, DC, VA, GA, TX, MT, OH, TN, MD, MA, IL, NY, WA, MI15 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 15

Enrollment IDStateProvider typePAC IDDetails
I20080128000748 NC Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20200331003043 FL Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20200401001118 DC Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20200402001950 VA Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20210520000010 GA Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20221011000969 TX Practitioner - Physician Assistant 1557443629 Reassigns benefits to 2 organizations
I20221123000738 MT Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20230606002655 OH Practitioner - Physician Assistant 1557443629 Reassigns benefits to 2 organizations
I20231027003330 TN Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20231109001163 MD Practitioner - Physician Assistant 1557443629 Reassigns benefits to 2 organizations
I20231114002089 MA Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20240211000079 IL Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20240809001432 NY Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20241031000371 WA Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization
I20250910003170 MI Practitioner - Physician Assistant 1557443629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

1200 Binz St
Suite 1490
Houston, TX 77004-6946
Phone (713) 512-7700

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

1665 Antilley Rd
Abilene, TX 79606-5264

1665 Antilley Rd
Abilene, TX 79606-5265
Phone (855) 850-0638

3300 S Fiske Blvd
BLDG a
Rockledge, FL 32955-4306
Phone (321) 434-5055

3430 Ohiohealth Pkwy
Columbus, OH 43202-1575

3430 Ohiohealth Pwky
Columbus, OH 43202-1575

444 N Cleveland Ave
Suite 120
Westerville, OH 43082-8388
Phone (614) 818-0300

55 W Tietan St
Walla Walla, WA 99362-4445
Phone 50952537201405

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 4000
Arlington, VA 22203-1824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10114GAMDGeneral Practice Dentistry
5079TNMDPharmacist
030535NYMDSpeech-Language Pathologist
PA031857DCMDPhysician Assistant
PA9113088FLMDPhysician Assistant
085010322ILMDPhysician Assistant
10004131AINMDPhysician Assistant
PA95315MAMDPhysician Assistant
C0007799MDMDPhysician Assistant
50.007998RXOHMDPhysician Assistant
PA61581028WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 26, 2020 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Nov 19, 2023 Accepting new patients
Walla Walla Clinic, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 18, 2023 Accepting new patients
Oh Independent Medical Group LLC CurrentSince May 13, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 18, 2023 Accepting new patients
North Carolina Em-1 Medical Services, PC Physician Assistant CurrentSince Oct 2, 2008 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Apr 17, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 18, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Aug 28, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 26, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Laurel Mill Emergency Physicians Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (770) 680-1473

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1 Vantage Way
Ste C240
Nashville, TN 37228
Phone (833) 973-3648

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.pulliam.1@23308.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@25094.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@25176.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@26020.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@27673.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@27775.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@28594.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@33227.direct.athenahealth.com
  • Direct secure messaging: jessica.pulliam.1@8042.direct.athenahealth.com
  • Direct secure messaging: pulliam.jessica.1@25095.direct.athenahealth.com

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1467653790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176145",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555747",
            "country_code": "US",
            "telephone_number": "321-434-1512",
            "fax_number": "321-434-5485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 New Waverly Pl",
            "address_2": "St 210",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187405",
            "country_code": "US",
            "telephone_number": "919-859-3373",
            "fax_number": "919-859-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "JESSICA",
        "middle_name": "STRICKLAND",
        "name_prefix": "Mrs.",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA95315",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007998RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113088",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15950",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61581028",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031857",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5079",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00910",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10114",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6176",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010322",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007799",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004131A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007066",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C",
            "identifier": "0010 00910",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "MD042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.