NPI age
19 years
Enumerated 2007-01-22
● Active
Type 1 · Individual
DR. Melvin Dana Bullock, M.D.
Bullock is 1 of 15 internal medicine providers in Roswell and 1 of 643 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 643 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
11685 Alpharetta Hwy, Suite 320
Roswell, GA 300764913
Mailing address
11685 Alpharetta Hwy, Suite 320
Roswell, GA 300764913
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 146KW | BC/BS |
| 01 (FL) | P00782776 | RR MEDICARE |
| 05 (GA) | 003101130D | |
| 05 (GA) | 003101130E |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.