KIRA LASSITER PULLIAM (CNM) – Midwife, NPI 1609048727

KIRA LASSITER PULLIAM (CNM) is a healthcare provider. based in Fayetteville, Georgia. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 0024167697 (VA). The NPI Number for KIRA LASSITER PULLIAM (CNM) is 1609048727

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KIRA LASSITER PULLIAM (CNM)
NPI
1609048727
Phone
(770) 991-2200
Address
1279 Highway 54 W
Enumeration Date
28 March 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7065711000
Graduation Year
2007 (19 years ago)
PAC ID
9133367709
Group Practice PAC ID
9133378763
Professional Enrollment ID
I20180523002995
Address ID
GA319011527CO710XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

182 CERTIFIED NURSE MIDWIFE (CNM) in GA

Provider Addresses for KIRA LASSITER PULLIAM (CNM)

  • 1279 Highway 54 W

    Fayetteville, GA 302144550

    Phone: (770) 991-2200

    Type: Location

  • 1900, 10th Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31901, United States

    STE 300

    COLUMBUS, GA 319013606

    Phone: (757) 390-6530

    Type: Mailing

  • 300, 10th Avenue, Avondale, Columbus, Muscogee County, Georgia, 31901, United States

    COLUMBUS, GA 319013606

    Phone: (706) 341-3311

    Fax: (706) 341-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180523002995ICertified Nurse Midwife (Cnm)GATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133378763View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YWV
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIRA LASSITER PULLIAM (CNM)?
KIRA LASSITER PULLIAM (CNM) — NPI 1609048727 — is the standard way to identify this listing.
Does CMS list KIRA LASSITER PULLIAM (CNM) as active?
Yes — KIRA LASSITER PULLIAM (CNM) is active in the NPI listing used on this page.
What healthcare role does KIRA LASSITER PULLIAM (CNM) hold?
Scheduling teams often label KIRA LASSITER PULLIAM (CNM) under Midwife. Clinical services aligned with this taxonomy classification.
What address line appears for KIRA LASSITER PULLIAM (CNM)?
KIRA LASSITER PULLIAM (CNM)'s geographic hint is Fayetteville, Georgia in our summary view.
Why does KIRA LASSITER PULLIAM (CNM) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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