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

Mr. Ty A. Bullington, NP

Individual provider Pediatric Nurse Practitioner · NPI 1407015951

Mr. Ty A. Bullington, NP is a Pediatric Nurse Practitioner in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone: (404) 365-0966
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN-NP242862 (GA)

Record details

NPI number1407015951
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

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