| Christa Perry Tullis, OT | |
| 100 Spring St, Suite B, Gainesville, GA 30501-2565 | |
| (770) 532-5721 | |
| (770) 532-5929 | 
| Full Name | Christa Perry Tullis | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 100 Spring St, Gainesville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013157270 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT004835 (Georgia) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christa Perry Tullis, OT 5005 Friendship Rd, Suite 300, Buford, GA 30518-1715 Ph: (770) 271-3458 | Christa Perry Tullis, OT 100 Spring St, Suite B, Gainesville, GA 30501-2565 Ph: (770) 532-5721 | 
| Krisi April Probert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501 Phone: 770-539-9001 Fax: 770-539-9217 | |
| Tina Marie Black,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4502 Summer Gate Ct, Gainesville, GA 30506 Phone: 770-378-5986 Fax: 770-536-0346 | |
| Shannon Randall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 Windward Ln, Gainesville, GA 30501 Phone: 770-535-8181 | |
| Brianna Lynn Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 428 S Enota Dr Ne, Gainesville, GA 30501 Phone: 678-865-4947 | |
| Mr. Myron Westley Green, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 955 Interstate Ridge Dr Unit E, Gainesville, GA 30501 Phone: 678-936-8695 | |
| Charlie Turk Chapman, OTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 |