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

Jose Antony Pulikkal Paul, MD

Individual provider Pulmonary Disease Physician · NPI 1629219936

Jose Antony Pulikkal Paul, MD is a Nurse Practitioner in Canton, Georgia. Qualified in 2005, 21 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2009
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

460 Northside Cherokee Blvd Ste 130
Canton, GA 30115-8017
Phone: (678) 493-2527
Fax: (678) 493-5608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 95943 (GA)

Record details

NPI number1629219936
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2009
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Canton