MR. JOHN SINK PULLIAM JR. (NPI# 1003252958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003252958 |
| Entity Type | Individual |
| Full Name | MR. JOHN SINK PULLIAM JR. |
| Credential | LCAS-A |
| Practice Address |
124 W Kapp St Dobson NC 27017-8825 |
| Mailing Address |
Po Box 431 Pinnacle NC 27043 |
| Practice Telephone | 3369262293 |
| Mailing Telephone | 3369262293 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3310-A | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A10435 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
A10435 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 N Crutchfield St, Dobson, NC 270178804 | 3366484141 | 3363523457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710923388 | John H Pulliam Jr. | Neurological Surgery | 200 E Evergreen St, Sherman, TX 75090-5056 | 2006-06-21 |
| Street Address |
124 W KAPP ST |
| City | DOBSON |
| State | NC |
| Zip Code | 27017-8825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453645 | Janice R Wilmoth | Clinical Neuropsychologist | 124 W Kapp St, Dobson, NC 27017-8825 | 2005-10-29 |
| 1154637148 | Lawson Support Services | Community/Behavioral Health | 124 W Kapp St, Dobson, NC 27017-8825 | 2010-08-27 |
| 1487969366 | Lawson Support Services | Community/Behavioral Health | 124 W Kapp St, Dobson, NC 27017-8825 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710131685 | Dobson Optometric Eyecare, Pa | Optometrist | 220 S. Main Street, Dobson Optometric Eyecare, Dobson, NC 27017 | 2008-11-05 |
| 1225293962 | Hope Valley, Inc. | Substance Abuse Rehabilitation Facility | 105 County Home Rd, Dobson, NC 27017 | 2008-07-22 |
| 1346421427 | Ricky J Vernon | Physician Assistant | 118 Hamby Street, Dobson, NC 27017 | 2007-11-17 |
| 1467596999 | Kare Mor Consulants, Inc. | Assisted Living Facility | 711 W. Atkins St., Dobson, NC 27017 | 2007-02-17 |
| 1669533436 | Jonesville Family Medical Center, Pa | Family Medicine | 113 Crutchfield St., Dobson, NC 27017 | 2006-12-13 |
| 1891156618 | Stacie Adams | Counselor | 109 W Atkins St, Dobson, NC 27017 | 2016-03-08 |
| 1184056848 | Pqa Healthcare, Inc | Community/Behavioral Health | 705 South Main Street, Dobson, NC 27017 | 2013-08-05 |
| 1902018724 | Jane Rountree | Nurse Practitioner | 118 Hamby Road, Dobson, NC 27017 | 2007-05-04 |
| 1861527335 | Surry County Department of Social Services | Public Health or Welfare | 118 Hamby Road, Dobson, NC 27017-0118 | 2007-02-23 |
| 1366584849 | Premium Home Care LLC | Home Health | 119 B N. Crutchfield St., Dobson, NC 27017-0265 | 2007-02-13 |
| Find all providers in zip 27017 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159196 | Larry Dale Smith | Counselor | 205 Lelia Ln, Dobson, NC 27017-8767 | 2018-10-01 |
| 1144407628 | David Randolph Swann | Counselor | 118 Stratford Pl, Dobson, NC 27017-8501 | 2008-01-27 |
| 1306490313 | Michael Gray Slate | Counselor | 701 S Main St, Dobson, NC 27017-8593 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
| 1780285858 | Michelle Tennant | Counselor | 4140 Dudleys Grant Dr Apt C, Winterville, NC 28590-8342 | 2020-11-05 |
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1417558834 | Oak Path Counseling Group, Pllc | Counselor | 4285 Highway 24 27 E Ste D, Midland, NC 28107-8505 | 2020-11-03 |
| 1073114666 | Amanda Elaine Richardson | Counselor | 352 W Goldeneye Ln, Sneads Ferry, NC 28460-8096 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1689274292 | Transformation Counseling & Consulting | Counselor | 7906 Hogan Dr, Wake Forest, NC 27587-6659 | 2020-11-01 |
| 1679173280 | Rachel Lynn Willms | Counselor | 17 Green Valley Ln, Jackson Springs, NC 27281-9798 | 2020-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.