Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Dekira Poullard, MD

Individual provider Internal Medicine Physician · NPI 1447770532

Ashley Dekira Poullard, MD is an Internal Medicine in Marietta, Georgia. Qualified in 2016, 10 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
10
Licensed in
CA, GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 Olde Towne Pkwy Ste 320
Marietta, GA 30068-4357
Phone: (783) 416-6370
Fax: (770) 509-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5957 W Ramsey St, Banning, CA 92220-3058 — (951) 845-0313

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 85066 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence C202483 (CA)

Record details

NPI number1447770532
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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