DR. DENNIS G BULLOCK (NPI# 1518995885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518995885 |
| Entity Type | Individual |
| Full Name | DR. DENNIS G BULLOCK |
| Credential | MD |
| Practice Address |
1305 Jennings Mill Rd Ste 210 Watkinsville GA 30677 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 7065521900 |
| Mailing Telephone | 7063530101 |
| Mailing Fax Number | 7065460710 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 027774 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000342526G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050296 | Dennis Mccray Bullock | Orthopaedic Surgery | 1083 Fort Davis Trl, Lusby, MD 20657-3556 | 2018-11-02 |
| 1932134863 | Dennis C Bullock | Chiropractor | 801 Fm 2325, Wimberley, TX 78676-5057 | 2006-07-11 |
| Street Address |
1305 JENNINGS MILL RD STE 210 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174889364 | Jodi Dyer Turner | Family Medicine | 1305 Jennings Mill Rd Ste 210, Watkinsville, GA 30677 | 2012-04-02 |
| 1932298775 | Keith W Zimmerman | Family Medicine | 1305 Jennings Mill Rd Ste 210, Watkinsville, GA 30677-7241 | 2006-10-12 |
| 1407884893 | Thomas A Mcelhannon | Family Medicine | 1305 Jennings Mill Rd Ste 210, Watkinsville, GA 30677-7241 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700172848 | Hajra M Hasan | Family Medicine | 1181 Langford Dr Ste 103, Watkinsville, GA 30677-7242 | 2011-06-28 |
| 1730310541 | Suneetha Chekuri | Family Medicine | 2410 Hog Mountain Rd Ste 201, Watkinsville, GA 30677 | 2009-07-29 |
| 1073536439 | Mark Alan Earhart | Family Medicine | 1747 Langford Dr Bldg 400-105, Watkinsville, GA 30677-7370 | 2006-07-26 |
| 1386613784 | David Charles Gaines | Family Medicine | 1618 Mars Hill Rd, Sutie A, Watkinsville, GA 30677-4847 | 2006-03-16 |
| 1033197785 | Roland Nash | Family Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-01-04 |
| 1831184209 | Raymond L Gilbert Jr. | Family Medicine | 1550 Mars Hill Rd, Watkinsville, GA 30677-4836 | 2005-09-13 |
| 1285116210 | St. Mary's Medical Group, Inc. | Family Medicine | 1181 Langford Dr Ste 103, Watkinsville, GA 30677 | 2018-09-06 |
| 1235543513 | St. Mary's Medical Group, Inc. | Family Medicine | 2410 Hog Mountain Rd Ste 201, Watkinsville, GA 30677-4850 | 2014-06-16 |
| 1942649611 | Devin Allen Stephens | Family Medicine | 1181 Langford Dr Ste 103, Watkinsville, GA 30677-7242 | 2013-06-17 |
| 1174889364 | Jodi Dyer Turner | Family Medicine | 1305 Jennings Mill Rd Ste 210, Watkinsville, GA 30677 | 2012-04-02 |
| Find all providers in WATKINSVILLE | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
Please comment or provide details below to improve the information on DR. DENNIS G 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.