NPI age
6 years
Enumerated 2019-07-11
● Active
Type 1 · Individual
Stacie Gullatt
Gullatt is 1 of 1 mastectomy fitter providers in Decatur and 1 of 8 in Georgia.
Primary specialty
Mastectomy Fitter
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8 active mastectomy fitter providers in Georgia.
NPI age
6 years
≈ at median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Practice location
2948 Laguna Dr
Decatur, GA 300323526
Mailing address
2948 Laguna Dr
Decatur, GA 300323526
Specialties
-
Mastectomy Fitter PrimaryAn individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Practice context
Solo or small practice. No 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 →
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