Bulloch Pediatrics Group, LLC
NPI 1720341514 · Pediatric Nurse Practitioner · Statesboro, GA
Bulloch Pediatrics Group, LLC is a Pediatric Nurse Practitioner organization in Statesboro, GA (NPI 1720341514).
Provider details
- NPI number
- 1720341514
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristen Hart, Practice Manager(912) 871-4847
- License
- RN104429 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Frequently asked questions
- What is Bulloch Pediatrics Group, LLC's NPI number?
- Bulloch Pediatrics Group, LLC's National Provider Identifier (NPI) is 1720341514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bulloch Pediatrics Group, LLC?
- Bulloch Pediatrics Group, LLC is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bulloch Pediatrics Group, LLC located?
- Bulloch Pediatrics Group, LLC's practice location on file with NPPES is 1497 Fair Rd, Statesboro, GA 30458-0822.
- What is Bulloch Pediatrics Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bulloch Pediatrics Group, LLC is (912) 871-4847.
- Who is the authorized official for Bulloch Pediatrics Group, LLC?
- The authorized official listed on Bulloch Pediatrics Group, LLC's NPPES record is Kristen Hart, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bulloch Pediatrics Group, LLC's NPI active?
- Yes — Bulloch Pediatrics Group, LLC's NPI (1720341514) is active in the NPPES registry as of the last update on 2012-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.