BACON COUNTY FAMILY MEDICINE, LLC – Family Medicine Physician, NPI 1356475644

BACON COUNTY FAMILY MEDICINE, LLC is a healthcare provider. based in Alma, Georgia. specializing in Family Medicine Physician. The organization holds a License No. 057735 (GA). The NPI Number for BACON COUNTY FAMILY MEDICINE, LLC is 1356475644

Main info

Organization
Name
BACON COUNTY FAMILY MEDICINE, LLC
NPI
1356475644
Phone
(912) 632-8991
Address
205 SOUTH WAYNE STREET
Authorized Official
DR. MICHAEL R. NULPH OWNER M.D.
Enumeration Date
16 March 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for BACON COUNTY FAMILY MEDICINE, LLC

  • 205 SOUTH WAYNE STREET

    ALMA, GA 31510

    Phone: (912) 632-8991

    Fax: (912) 632-2684

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 31510)

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Reviews

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Frequently asked questions

How do I look up BACON COUNTY FAMILY MEDICINE, LLC by NPI?
Use NPI 1356475644 when you need to reference BACON COUNTY FAMILY MEDICINE, LLC in forms, claims, or directories.
Is BACON COUNTY FAMILY MEDICINE, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BACON COUNTY FAMILY MEDICINE, LLC treat or focus on?
Patients typically see BACON COUNTY FAMILY MEDICINE, LLC under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is BACON COUNTY FAMILY MEDICINE, LLC's primary listing?
We display Alma, Georgia because that is what the record indicates for BACON COUNTY FAMILY MEDICINE, LLC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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