Miss Flortasha Laray Pullom, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Stone Mountain, Georgia. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Of Georgia Pc and her current practice location is
1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 444-3134.
Miss Flortasha Laray Pullom is licensed to practice in Georgia (license number APRN-NP331904) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043559529.
Physician's Profile
| Full Name | Miss Flortasha Laray Pullom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Flortasha Laray Pullom graduated from medical school in 2018
NPI Data:
- NPI Number: 1043559529
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 03/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 2769729540
- Enrollment ID: I20250523001854
Medical Identifiers
Medical identifiers for Miss Flortasha Laray Pullom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043559529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN331904 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 2018017288 (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-NP331904 (Georgia) | Primary |
| 163W00000X | Registered Nurse | 201141801RN (Oregon) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oak Street Health Of Georgia Pc | 0345658647 | 38 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Flortasha Laray Pullom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Miss Flortasha Laray Pullom, FNP-BC
Po Box 740015,
Atlanta, GA 30374-0015
Ph: (312) 733-9730 | Miss Flortasha Laray Pullom, FNP-BC
1825 Rockbridge Rd Ste 15b,
Stone Mountain, GA 30087-3306
Ph: (470) 444-3134 |
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