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

Latoya Pulliam Bexley, NP

Individual provider Family Nurse Practitioner · NPI 1003190455

Latoya Pulliam Bexley, NP is a Nurse Practitioner in Carrollton, Georgia. Qualified in 2008, 18 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

905 Dixie St
Carrollton, GA 30117-4408
Phone: (678) 796-0681
Fax: (770) 836-8477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP159472 (GA)

Record details

NPI number1003190455
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address122 Zachary Dr, Carrollton, GA 30117-8608

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tanner Medical Group Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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