Debra Carol Paulk, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT010524 Issued in GA

Practice address

1202 Madison Ave N
Douglas, GA 31533-2804

Phone

(912) 389-1811

Fax

(912) 389-1811

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1699157503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MADISON AVE N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332804",
            "telephone_number": "912-389-1811",
            "fax_number": "912-389-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MADISON AVE N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332804",
            "telephone_number": "912-389-1811",
            "fax_number": "912-389-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "DEBRA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT010524",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT010524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Rae Partin, M.ED., CCC/SLP
• Bhavdipkumar G Patel, MD
• Dushyant J Patel, M.D.
• Sonal B Patel
• Carlas Paulk, FNP-C
• Stephanie Paulk
• Nicole Ylonne Payne, M.D.
• Leann M Peacock, MED CCC-SLP
• Justin Peterson, MD
• Hunter Phillips, PHARMD

• Specialist in Douglas, GA
• Providers in Douglas, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.