IndividualActive
Samuel Bullard
NPI 1649067422 · Registered Dietitian · Snellville, GA
Samuel Bullard is a Registered Dietitian provider in Snellville, GA (NPI 1649067422).
Provider details
- NPI number
- 1649067422
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LD006062 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3783 Galdway Dr
Snellville, GA 30039-5123
Phone: (678) 404-1396
Street-level locationGet directions
Mailing address
3783 Galdway Dr
Snellville, GA 30039-5123
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Samuel Bullard's NPI number?
- Samuel Bullard's National Provider Identifier (NPI) is 1649067422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Bullard's specialty?
- Samuel Bullard is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Samuel Bullard located?
- Samuel Bullard's practice location on file with NPPES is 3783 Galdway Dr, Snellville, GA 30039-5123.
- What is Samuel Bullard's phone number?
- The practice phone number listed in the NPPES registry for Samuel Bullard is (678) 404-1396.
- Is Samuel Bullard's NPI active?
- Yes — Samuel Bullard's NPI (1649067422) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.