Nocollege A Pupuma, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003263 Issued in GA

Practice address

1431 Riverside Pkwy
Suite B
Lawrenceville, GA 30043-5946

Phone

(770) 513-0111

Fax

(770) 513-3731

NPI assigned

May 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Advanced Health & Rehab Center Inc

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1508045709
  NPD (past)
• Friendship Community Healthcare Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1033241666
  NPD (past)
• Prohealth Integrated Medical

  • Legal Medicine
  • Lawrenceville, GA
  • NPI 1588782346
  NPD (past)
• Vitale Medical Inc

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1609259969
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689626657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RIVERSIDE PKWY",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435946",
            "telephone_number": "770-513-0111",
            "fax_number": "770-513-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 RIVERSIDE PKWY",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435946",
            "telephone_number": "770-513-0111",
            "fax_number": "770-513-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPUMA",
        "first_name": "NOCOLLEGE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc
• Brett Daniel Puckett, PA-C, MMSC, ATC
• Brenda Puebla Nava
• Jena Pugh, CNP
• Pulsewave Technologies LLC
• Timi Lenea Purcell - Wennemann, LPC
• Purple Recovery Center for Men
• James L Purvis, O. D.
• Patricia Assini Putkamer, RBT
• Dieu Lien Thi Quach, AGPCNP

• Medical Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.