ASHLEY DEKIRA POULLARD (MD) – Internal Medicine Physician, NPI 1447770532
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for ASHLEY DEKIRA POULLARD (MD)
5957 W Ramsey St
Banning, CA 922203058
Phone: (951) 845-0313
Type: Location
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 300684357
Phone: (783) 416-6370
Fax: (770) 509-0601
Type: Location
211 FAIRVIEW RD
ELLENWOOD, GA 302942721
Phone: (678) 289-6747
Fax: (678) 289-6750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $991.
Total Amount is formed as General ($991) + Research ($0) + Ownership ($0) = $991.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Novo Nordisk Inc ($221).
Total Amount
$991
General + Research + Ownership
Payments
54
Total payment records
General Amount
$991
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $221 |
| ABBVIE INC. | $133 |
| Lilly USA, LLC | $101 |
| AstraZeneca Pharmaceuticals LP | $89 |
| Novartis Pharmaceuticals Corporation | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201005001573 | I | Internal Medicine | GA | TBD |
| I20251121003879 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 92220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Internal Medicine | TN | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Internal Medicine | GA |
Reviews
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