OrganizationActive
Bulloch Pediatrics, PC
NPI 1679775712 · Pediatrics Physician · Statesboro, GA
Bulloch Pediatrics, PC is a Pediatrics Physician organization in Statesboro, GA (NPI 1679775712).
Provider details
- NPI number
- 1679775712
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Lightsey, Office Manager(912) 871-4847
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
1497 Fair Rd
Ste 200
Statesboro, GA 30458-0822
Phone: (912) 871-4847
Fax: (912) 871-5562
Street-level locationGet directions
Mailing address
1497 Fair Rd
Statesboro, GA 30458-0822
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bulloch Pediatrics, PC's NPI number?
- Bulloch Pediatrics, PC's National Provider Identifier (NPI) is 1679775712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bulloch Pediatrics, PC?
- Bulloch Pediatrics, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Bulloch Pediatrics, PC located?
- Bulloch Pediatrics, PC's practice location on file with NPPES is 1497 Fair Rd, Statesboro, GA 30458-0822.
- What is Bulloch Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Bulloch Pediatrics, PC is (912) 871-4847.
- Who is the authorized official for Bulloch Pediatrics, PC?
- The authorized official listed on Bulloch Pediatrics, PC's NPPES record is Melody Lightsey, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bulloch Pediatrics, PC's NPI active?
- Yes — Bulloch Pediatrics, PC's NPI (1679775712) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.