ANNE CONSTANIA BULLOCK (NPI# 1477547784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477547784 |
| Entity Type | Individual |
| Full Name | ANNE CONSTANIA BULLOCK |
| Credential | M.D. |
| Practice Address |
229 Peachtree St Ne Ste 1200 Atlanta GA 30303 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 4048741788 |
| Practice Fax Number | 4048721788 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
032140 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | 360003154/CM0845 | 01 |
| GA | 00569698B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 999 Peachtree St, Suite 850, Atlanta, GA 303093915 | 4048741788 | 4048724589 |
| Street Address |
229 PEACHTREE ST NE STE 1200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073786729 | Kalindi Parikh | Internal Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303-1620 | 2008-04-02 |
| 1346410594 | Omar Rafik Kashlan | Internal Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303 | 2008-03-04 |
| 1740464189 | Mohammad Kooshkabadi | Internal Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303 | 2007-12-20 |
| 1063406262 | Paul Lawrence Douglass | Internal Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303 | 2005-09-02 |
| 1588658785 | Sheila Ann Robinson | Internal Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303-1620 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699164657 | Georgia Physicians of Cardiology, LLC | Nuclear Medicine | 999 Peach Street Ne, Ste 850, Atlanta, GA 30309-3964 | 2015-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871756155 | Fidias Eduardo De Leon | Nuclear Medicine | 3576 Highway 138 Se Ste A, Stockbridge, GA 30281-7822 | 2008-07-07 |
| 1245389006 | Collins Cardiology | Nuclear Medicine | 182 Perry House Rd Ste D, Fitzgerald, GA 31750-8721 | 2007-01-10 |
| 1326139627 | Penn Teck Diagnostics Inc | Nuclear Medicine | 820 St. Sebastian Way, Suite 2b, Augusta, GA 30901 | 2006-09-28 |
Please comment or provide details below to improve the information on ANNE CONSTANIA BULLOCK.
| 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.