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OLIVIA NAOMIE BULLARD
NPI 1124815592
Physician Assistant in Fairmont, NC

Active since April 21, 2025PECOS EnrolledAccepts Medicare Assignment
210 S WALNUT ST, FAIRMONT, NC 28340(910) 628-6711(910) 628-5735 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olivia Naomie Bullard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA NAOMIE BULLARD (NPI 1124815592) is an individual physician assistant in Fairmont, North Carolina, licensed in North Carolina (0010-15150) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124815592
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIA NAOMIE BULLARD
Location Address210 S WALNUT STFairmont, NC 28340-1956
Mailing Address60 Commerce Plaza CirPembroke, NC 28372-7386 · (910) 521-2900
Phone(910) 628-6711
Fax(910) 628-5735
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 21, 2025
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1124815592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-15150
Definition
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.
210 S WALNUT ST, Fairmont, NC 28340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Naomie Bullard is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486169885
PECOS Enrollment IDI20250715001644
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAILA BROOKE CHAVIS
Dentist (General Practice)
210 S WALNUT ST
FAIRMONT, NC 28340
Robeson County (910) 668-6534
ADRIANNA OXENDINE PA
Physician Assistant
210 S WALNUT ST
FAIRMONT, NC 28340
Robeson County (910) 628-6711
ROBESON HEALTH CARE CORPORATION
Pharmacy (Community/Retail Pharmacy)
210 S WALNUT ST
FAIRMONT, NC 28340
Robeson County (910) 535-4003
ROBESON HEALTH CARE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
210 S WALNUT ST
FAIRMONT, NC 28340
Robeson County (910) 628-6711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Bullard's NPI number?

The NPI number for Olivia Bullard is 1124815592. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Olivia Bullard located?

Olivia Bullard practices at 210 S Walnut St, Fairmont, NC 28340. The listed phone number is (910) 628-6711.

What is Olivia Bullard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Olivia Bullard enrolled in Medicare?

Yes. Olivia Bullard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Olivia Bullard accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Olivia Bullard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Olivia Bullard affiliated with any hospitals?

According to CMS data, Olivia Bullard is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Olivia Bullard was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.