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

Dr. Colette Devona Bullock, DO

Individual provider Internal Medicine Physician · NPI 1164612370

Dr. Colette Devona Bullock, DO is an Internal Medicine in Sugar Hill, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia, New Jersey and Pennsylvania.

Years since qualifying
19
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA, NJ, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5422 Cumming Hwy Ste 104
Sugar Hill, GA 30518-7027
Phone: (678) 466-9193
Fax: (877) 991-5350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 75415 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS015213 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MB08802400 (NJ)

Record details

NPI number1164612370
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 25, 2007
Last updated in NPPESOctober 8, 2022
Certification dateOctober 8, 2022
Mailing address5422 Cumming Hwy Ste 104, Sugar Hill, GA 30518-7027

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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