Active NPI
Jessica Strickland Pulliam, P. A.
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030535
- 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, 2026
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010 00910 | Other | NC | PA-C |
| MD042 | Other | FL | FL 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 15
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10114 | GA | MD | General Practice Dentistry |
| 5079 | TN | MD | Pharmacist |
| 030535 | NY | MD | Speech-Language Pathologist |
| PA031857 | DC | MD | Physician Assistant |
| PA9113088 | FL | MD | Physician Assistant |
| 085010322 | IL | MD | Physician Assistant |
| 10004131A | IN | MD | Physician Assistant |
| PA95315 | MA | MD | Physician Assistant |
| C0007799 | MD | MD | Physician Assistant |
| 50.007998RX | OH | MD | Physician Assistant |
| PA61581028 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Current | Accepting new patients | |
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Menocal Medical Services PA | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Oh Independent Medical Group LLC | Current | Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| North Carolina Em-1 Medical Services, PC | Physician Assistant | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Privia Medical Group Washington, PLLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | 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
- https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- jessica.pulliam.1@23308.direct.athenahealth.com
- jessica.pulliam.1@25094.direct.athenahealth.com
- jessica.pulliam.1@25176.direct.athenahealth.com
- jessica.pulliam.1@26020.direct.athenahealth.com
- jessica.pulliam.1@27673.direct.athenahealth.com
- jessica.pulliam.1@27775.direct.athenahealth.com
- jessica.pulliam.1@28594.direct.athenahealth.com
- jessica.pulliam.1@33227.direct.athenahealth.com
- jessica.pulliam.1@8042.direct.athenahealth.com
- 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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
dba Walla Walla Clinic (Professional)
- Clinic/Center
- Walla Walla, WA
- NPI 1780658419
-
- Family Medicine Physician
- Columbus, OH
- NPI 1497482111
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
dba Abilene Diagnostic Clinic, PLLC
- Specialist
- Abilene, TX
- NPI 1346242567
-
- Family Medicine Physician
- Nashville, TN
- NPI 1376110858
-
dba Cityblock Medical Practice
- Family Medicine Physician
- Brooklyn, NY
- NPI 1912491770
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
IL, MA, MI, NC
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.