Morris Clayton Pulliam, M.D.
Individual provider Active NPI Family Medicine Physician · Cleveland, GA
NPI 1508985607 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1508985607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34223 (GA)
- Practice address
- 2578 Helen Hwy
Cleveland, GA 30528-2848 - Phone
- (770) 219-9260
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Urgent Care LLC
Practice addresses (Care Compare)
108 Prominence CT
Suite 100
Dawsonville, GA 30534-6340
Phone (706) 334-6940
1515 River PL
Suite 100
Braselton, GA 30517-5610
Phone (770) 848-6195
2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (706) 865-1234
58 Big a Rd
Toccoa, GA 30577-6017
Phone (706) 827-2607
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000627 | GA | Practitioner - Family Practice | 7517957202 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34223 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital Authority of Habersham County | Current | Accepting new patients | |
| Covenant Emergency Physicians LLC | Current |
Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Northeast Georgia Physicians Group Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
| Covington Hearing Associates, LLC | Past |
Accepting new patients | |
| M. Michael Pulliam, M.D., P.C. | Past | Accepting new patients |
Locations
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
2578 Helen Hwy
Cleveland, GA 30528
Phone (706) 865-1234
73 Maxwell Ln
Dahlonega, GA 30533
Phone (706) 344-6953
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072
274 Big a Rd
Toccoa, GA 30577
Phone (706) 886-3169
Interoperability endpoints
- morris.pulliam@hcmcmed.gadirect.net
- mpulliam29512@nghs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34223 | GA | Yes |
Addresses
Primary practice location
2578 Helen Hwy
Cleveland, GA 30528-2848
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
73 Maxwell Ln
Dahlonega, GA 30533-7146
Phone (706) 344-6953
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000456178F | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpulliam29512@nghs.gadirect.net | Direct |
Other providers in Cleveland, GA
- Patricia Nuse Pratt
- Emily Rose Presley-Pitts
- Brianna Lee Pruitt
- Melissa Pruitt
- Trilla Dorsey Pruitt
- Paula Jean Rajczak
- Heather Ramsey
- Shane Andrew Rapson
- Christopher White Ratchford
- Richard D Wilbanks DMD PC
All providers in Cleveland, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.