Active NPI
Nathan Carr Pulkingham, MD
- Anatomic Pathology & Clinical Pathology Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 34437
- Practice address
- 500 Jefferson St
Whiteville, NC 28472-3634 - Phone
- (910) 642-8011
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 34437 | NC | Primary |
Addresses
Primary practice location
500 Jefferson St
Whiteville, NC 28472-3634
Mailing address
5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891293F | Medicaid | NC | |
| 1293F | Other | NC | BCBS OF NC |
| 220033409 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Brody School of Medicine at East Carolina University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.55 of 100
- Quality
- 72.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34437 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen City Gastroenterology & Hepatology, PC | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Associated Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Progressive Pathology LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Nathan Carr Pulkingham MD PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Associated Pathologists LLC | Past | Accepting new patients |
Locations
1901 Phoenix Blvd
Atlanta, GA 30349
Phone (770) 991-0913
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447
Interoperability endpoints
- npulkingham@crhn.cernerdirect.com
Organizations & group practices 7
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.
-
dba Associated Pathologists LLC dba PathGroup
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
NC
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- Gastroenterology Physician
- Charlotte, NC
- NPI 1750682431
-
- Anatomic Pathology & Clinical Pathology Physician
- Sanford, NC
- NPI 1952300998
-
dba Donayre Cancer Care Center Pharmacy
- Specialty Pharmacy
- Whiteville, NC
- NPI 1275079451
-
- Anatomic Pathology & Clinical Pathology Physician
- Boone, NC
- NPI 1861431868
-
dba Anatomic Pathology Lab
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1588663447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277542",
"telephone_number": "615-221-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723634",
"telephone_number": "910-642-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULKINGHAM",
"first_name": "NATHAN",
"middle_name": "CARR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "34437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891293F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1293F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220033409",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.