Individual provider Active NPI

Michael R. Nulph, M.D.

  • Family Medicine Physician
  • Cordele, GA
National Provider Identifier
1851332787
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57735 Issued in GA
Practice address
602 E 16TH Ave Ste a&B
Cordele, GA 31015-1776
Phone
(229) 513-0700
Fax
(229) 513-0701
NPI assigned
Jun 10, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57735 GA Primary

Addresses

Primary practice location

602 E 16TH Ave Ste a&B
Cordele, GA 31015-1776

Mailing address

602 E 16TH Ave Ste a&B
Cordele, GA 31015-1776
Phone (229) 513-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060504000477 GA Practitioner - Family PracticePractitioner - Emergency Medicine 0941210090 Reassigns benefits to 10 organizations
I20260427003195 FL Practitioner - Family Practice 0941210090 Reassigns benefits to 1 organization
I20260602001801 AL Practitioner - Family Practice 0941210090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
South Georgia Emergency Medicine Associates PCGroup PAC ID 4880850775, 33 clinicians
Careconnect Health IncGroup PAC ID 7810980794, shared by 48 NPIs, 26 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

2151 W Spring St
Monroe, GA 30655-3202
Phone (770) 267-8461

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000

510 Alston St
Richland, GA 31825-6012
Phone (229) 887-3324

9318 Panama City Beach Pkwy
Panama City Beach, FL 32407-4024
Phone (850) 772-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 17, 2016 Accepting new patients
Ben Hill Emergency Group LLC Emergency Medicine CurrentSince Apr 13, 2014 Accepting new patients
Nes Georgia, Inc. Emergency Medicine CurrentSince Sep 15, 2013 Accepting new patients
Douglas Medical Specialist CurrentSince Apr 1, 2009 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Apr 1, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 17, 2016 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Sep 15, 2013 Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients
Plains Medical Center, Inc, Family Medicine Past Accepting new patients
Bacon County Family Medicine, LLC Family Medicine PastSince Apr 17, 2006 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients

Locations

203 S Wayne St
Alma, GA 31510
Phone (912) 632-8288

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

200 Doctors Dr
Ste N
Douglas, GA 31533
Phone (912) 384-3338

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1851332787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 16TH AVE STE A&B",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151776",
            "telephone_number": "229-513-0700",
            "fax_number": "229-513-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 16TH AVE STE A&B",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151776",
            "telephone_number": "229-513-0700",
            "fax_number": "229-513-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULPH",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.