CHRISTIAN JARRETT PULLIAM
NPI 1073197083
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
NPI Status: Active since May 06, 2021
Contact Information
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About CHRISTIAN PULLIAM
This page provides the complete NPI Profile along with additional information for Christian Pulliam, a primary care provider established in Winston Salem, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1073197083 assigned on May 2021. The practitioner's primary taxonomy code is 390200000X with license number RTL24-0798 (NC). The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1073197083
- Provider Name
- CHRISTIAN JARRETT PULLIAM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
- Location Phone
- (336) 716-2255
- Mailing Address
- MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-06-2021
- Last Update Date
- 10-29-2024
- Code Navigator
A primary care provider (PCP) like Christian Pulliam sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 701 Grove Road 5th Floor Support Tower
Greenville, SC 29605
(864) 455-7882
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- RTL24-0798
- License State
- NC
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | LL83544 (SC) |
| 2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | LL83544 (SC) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Christian Pulliam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 1 | 9 | 7 | 0 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 2 | 9 | 14 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 2 + 9 + 1 + 4 + 0 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1073197083 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811990815 | MR. GARY LEE RAY MSN, CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2555 |
| 1548264310 | PETER A VALEN MD Individual | Internal Medicine (Rheumatology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1053393306 | MR. JAMES BOYD THOMAS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962484212 | MARTHA SCHELL SOOTS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1659352961 | MS. LINDA MARIE SANGIULIANO CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6701 |
| 1376524686 | KAREN M HARP CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962483297 | MRS. ALISA LAWSON STARBUCK RN NNP Individual | Nurse Practitioner (Neonatal) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-6498 |
| 1477535599 | RICHARD HENRY DEAN MD Individual | Surgery (Vascular Surgery) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1366424483 | CHERYL B KIRKPATRICK CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1386626349 | CAROLYN RUTH FERREE MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141585 | EDWARD GUS SHAW MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1447232400 | MARK CAUTHEN WILLINGHAM MD Individual | Pathology (Anatomic Pathology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1528040581 | BART ALAN FRIZZELL MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1396727996 | RAMON VELEZ MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1154303519 | PETER RIBACK LICHSTEIN MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1497737894 | MRS. DONNA LEA MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2540 |
| 1114900354 | MRS. GWENDOLYN DALY ROARKE CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1346223484 | RODOLFO M PASCUAL MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1376526400 | JILL M OHAR MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1235112376 | WENDY COLLEEN MOORE MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073197083, enumerated in the NPI registry as an "individual" on May 06, 2021
The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-2255
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 06, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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