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

Bulloch Pediatrics Group, LLC

Organization Pediatric Nurse Practitioner · NPI 1720341514

Bulloch Pediatrics Group, LLC provides Pediatric Nurse Practitioner services in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1497 Fair Rd Ste 200
Statesboro, GA 30458-0822 Not confirmed with CMS for 14 years — call before visiting
Phone: (912) 871-4847
Fax: (912) 871-5562
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 RN104429 (GA)

Record details

NPI number1720341514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Hart — Practice Manager · (912) 871-4847
NPI enumeratedJune 18, 2012
Last updated in NPPESJune 18, 2012
Mailing address1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822

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