P Praxis·MD
● Active Type 1 · Individual

DR. Colette Devona Bullock, DO

Internal Medicine·Sugar Hill, GA· NPI 1164612370 · Enumerated 2007 · 18 years on NPI
Bullock is 1 of 4 internal medicine providers in Sugar Hill and 1 of 5027 in Georgia.
NPI age
18 years
Enumerated 2007-07-25
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, PA, NJ
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
5422 Cumming Hwy Ste 104
Sugar Hill, GA 305187027
📞 6784669193fax 8779915350
Mailing address
5422 Cumming Hwy Ste 104
Sugar Hill, GA 305187027
📞 6787657147fax 8779915350

Specialties

  • Internal Medicine Primary
    A 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,...
    GA license #75415PA license #OS015213NJ license #25MB08802400 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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