Miss Glenda Pulliam, A-GNP - Medicare Nurse Practitioner in Wilmington, NC

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Miss Glenda Pulliam, A-GNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wilmington, North Carolina. She graduated from nursing 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 Lifesource Of North Carolina, Lifesource Prime Inc, Lifesource Of North Carolina, Lifesource Prime Inc and her current practice location is 3205 Randall Pkwy Ste 105, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 742-9243.

Miss Glenda Pulliam is licensed to practice in North Carolina (license number 5012679) 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 1952871055.

Contact Information

Miss Glenda Pulliam, A-GNP
3205 Randall Pkwy Ste 105,
Wilmington, NC 28403-2565
(910) 742-9243
(888) 746-1787

Map and Direction




Provider's Profile

Full NameMiss Glenda Pulliam
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location3205 Randall Pkwy Ste 105, Wilmington, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Glenda Pulliam graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1952871055
  • Provider Enumeration Date: 11/30/2018
  • Last Update Date: 08/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082882139
  • Enrollment ID: I20200514001493

Medical Identifiers

Medical identifiers for Miss Glenda Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952871055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 32063 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5012679 (North Carolina)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 32063 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 22404 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centerwell Home Health Shelby, NCHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifesource Of North Carolina7416132428172
Lifesource Prime Inc781033638552
Lifesource Of North Carolina7416132428172
Lifesource Prime Inc781033638552

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. Miss Glenda Pulliam allows following entities to bill medicare on her behalf.
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922020908
PECOS PAC ID: 3173563590
Enrollment ID: O20050505000237
Entity NameLifesource of North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811286156
PECOS PAC ID: 7416132428
Enrollment ID: O20110505000743
Entity NameLifesource Prime Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598533275
PECOS PAC ID: 7810336385
Enrollment ID: O20240416003922
Entity NameAcceptance Pathway Psychiatry PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013764281
PECOS PAC ID: 3971031501
Enrollment ID: O20250110000959
Entity NameVitalcare Health Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235954389
PECOS PAC ID: 2264961861
Enrollment ID: O20250808000697

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 Glenda Pulliam 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 AddressPractice Location Address
Miss Glenda Pulliam, A-GNP
830 Willow Tree Cir Ste 2,
Cordova, TN 38018-6330

Ph: (901) 319-5159		Miss Glenda Pulliam, A-GNP
3205 Randall Pkwy Ste 105,
Wilmington, NC 28403-2565

Ph: (910) 742-9243

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.