Individual Healthcare Provider
Kristina Lynne Bullock, PA-C
Provider's NPPES record last updated: May 1, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023553096
- Primary Specialty
- Physician Assistant
- Practice Location
- Cary, North Carolina
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:47 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (North Carolina)
- 219961
Practice Locations
Practice Location
115 Kildaire Park Dr Ste 205
Cary, North Carolina 27518-8127
Phone: (919) 787-7246
Additional Practice Location
2605 Blue Ridge Rd Ste 320
Raleigh, North Carolina 27607-6475
Phone: (919) 562-9410
Fax: (919) 562-2948
Additional Practice Location
103 Professional Park Ste A
Oxford, North Carolina 27565-2581
Phone: (919) 562-9410
Fax: (919) 562-2948
Additional Practice Location
200 W Parkview Dr Ste B
Henderson, North Carolina 27536-5958
Phone: (919) 562-9410
Fax: (919) 562-2948
Additional Practice Location
6602 Knightdale Blvd Ste 310
Knightdale, North Carolina 27545-6526
Phone: (919) 562-9410
Fax: (919) 562-2948
Additional Practice Location
11200 Governor Manly Way
Suite 309
Raleigh, North Carolina 27614-8599
Phone: (919) 562-9410
Fax: (919) 562-2948
Record Information
- Enumeration Date
- December 30, 2016
- Provider's NPPES Record Last Updated
- May 1, 2019
- NPISignal NPPES Dataset
- August 2026
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