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

Miss. Flortasha Laray Pullom, FNP-BC

Individual provider Family Medicine Physician · NPI 1043559529

Miss. Flortasha Laray Pullom, FNP-BC is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2018, 8 years ago. Practices with Oak Street Health of Georgia PC, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Oregon.

Years since qualifying
8
Licensed in
GA, OR
In the registry since
2013
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306
Phone: (470) 444-3134
Fax: (470) 276-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2732 Candler Rd, Decatur, GA 30034-1410 — (470) 444-3133
  • 3360 Shelby Ln Ste 1030, East Point, GA 30344-5745 — (943) 230-3977

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP331904 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN331904 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2018017288 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201141801RN (OR)

Record details

NPI number1043559529
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedFebruary 4, 2013
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Oak Street Health Of Georgia Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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