Latoya Pulliam Bexley, NP in Carrollton, GA - Medicare Nurse Practitioner

Latoya Pulliam Bexley, NP is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tanner Medical Group Inc and her current practice location is 905 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 796-0681.

Latoya Pulliam Bexley is licensed to practice in Georgia (license number APRN-NP159472) 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 1003190455.

Contact Information

	Latoya Pulliam Bexley, NP
	905 Dixie St, Carrollton, GA 30117-4408
	(678) 796-0681
	(770) 836-8477

Map and Direction

Provider's Profile

Full Name	Latoya Pulliam Bexley
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	905 Dixie St, Carrollton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latoya Pulliam Bexley graduated from nursing school in 2008

NPI Data:

NPI Number: 1003190455
Provider Enumeration Date: 10/04/2011
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 1759538713
Enrollment ID: I20120827000194

Medical Identifiers

Medical identifiers for Latoya Pulliam Bexley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003190455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN-NP159472 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Medical Center Villa Rica	Villa rica, GA	Hospital
Tanner Medical Center-east Alabama	Wedowee, AL	Hospital
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanner Medical Group Inc	2769536143	111

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latoya Pulliam Bexley allows following entities to bill medicare on her behalf.

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

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. Latoya Pulliam Bexley 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
Latoya Pulliam Bexley, NP 122 Zachary Dr, Carrollton, GA 30117-8608 Ph: (404) 578-9753	Latoya Pulliam Bexley, NP 905 Dixie St, Carrollton, GA 30117-4408 Ph: (678) 796-0681

Reviews and Comments

Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922
Alyssa Dianne Paul, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440
Mrs. Andrea Logan Bossie, MS, RN, CNN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 526 Bankhead Hwy Ste 101, Carrollton, GA 30117 Phone: 770-962-3642 Fax: 770-962-3643

Latoya Pulliam Bexley, NP - Medicare Nurse Practitioner in Carrollton, GA