Charles Clayborn Pulliam II, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103393 Issued in NC

Practice address

475 Progress Blvd
Siler City, NC 27344-6787

Phone

(919) 799-4000

Fax

(919) 799-4011

NPI assigned

Oct 23, 2006

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• Chatham Hospital, Inc.

  dba Chatham Professional Group

  • Critical Access Hospital
  • Siler City, NC
  • NPI 1689967457
  Medicare reassignment
• Sandhills Emergency Physicians PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pinehurst, NC
  • NPI 1003853409
  Medicare reassignment
• University of North Carolina at Chapel Hill

  dba UNC REACCH Enhanced Primary Care

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1972912285
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1710060462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-799-4000",
            "fax_number": "919-799-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-799-4000",
            "fax_number": "919-799-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "CHARLES",
        "middle_name": "CLAYBORN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpulliam74894@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "475 Progress Blvd",
            "city": "Siler City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273446787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Piedmont Health Services, Inc. (Siler City Community Health Center Pharmacy)
• Piedmont Health Services, Inc. (Siler City Community Health Center)
• Laura Pope, LCSWA
• Premise Health of North Carolina Medical PC (Mountaire Farms Siler City Health and Wellness Center)
• Proptnc,LLC (Resolve Physical Therapy and Rehabilitation)
• Q1 Clinical Consultants, LLC
• Jonda Quintero
• Rao N Kothapalli MD PA
• George Restrepo, DO
• Lisa A. Reynolds, PT

• Medical Physician Assistant in Siler City, NC
• Providers in Siler City, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.