Look up the most recent NPI and PECOS records

Sally Bullock

Internal Medicine

Allopathic & Osteopathic Physicians

211 Cool Springs Blvd., Franklin, TN 37067

PECOS Enrollment

Based on the most recent information from CMS, provider Sally Bullock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1396784971
Provider Type
Individual
Full Name
Bullock, Sally
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/6/2006
Last Updated
9/7/2023

Contact Information

Practice Location

211 Cool Springs Blvd., Franklin, TN 37067

(615) 778-6800

(615) 778-6822

Mailing Location

PO Box 1227, Spring Hill, TN 37174-1227

(931) 451-7946

(931) 451-7934

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 15210 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3009310	Description Medicaid	Issuer Unlisted Tennessee

Sally Bullock

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Primary Care Clinic Llc

Sherman, Devin

Erin Gaw Pritchett M.D., L.L.C.

Williamson Medical Group, Llc

Hermitage Medical Associates Pllc

Williamson Saint Thomas Community Health

Suppinger, Amy Marie

Estrella, Fernando S.

Hospitalist Medicine Physicians Of Tennessee-Tcg, Pc

Langston, Sheron Joan