ANGELA KENNEDY BULLARD FNP-BC
NPI 1730681495
Nurse Practitioner - Family in Tifton, GA

Q: What is Angela Bullard's NPI number?

The NPI number for Angela Bullard is 1730681495. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Q: What is Angela Bullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Bullard was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 08, 2018PECOS EnrolledAccepts Medicare Assignment

1909 US HIGHWAY 82 W STE 5, TIFTON, GA 31793(229) 386-4300(229) 386-8300 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2019, Mar 8, 2018 (2 updates tracked since 2018).

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About Angela Kennedy Bullard Fnp-bc NPPES

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

ANGELA KENNEDY BULLARD FNP-BC (NPI 1730681495) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN192489) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730681495

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA KENNEDY BULLARDCredential: FNP-BC

Location Address1909 US HIGHWAY 82 W STE 5Tifton, GA 31793-8213

Mailing Address1909 Us Highway 82 W Ste 5Tifton, GA 31793-8213 · (229) 386-4300 · Fax (229) 386-8300

Phone(229) 386-4300

Fax(229) 386-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 8, 2018

Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration

NPPES CertifiedDecember 19, 2023

✔ NPI 1730681495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN192489

Also ListedRegistered NurseTaxonomy 163W00000X · License RN192489 (GA)

1909 US HIGHWAY 82 W STE 5, Tifton, GA 31793

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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 Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Kennedy Bullard Fnp-bc 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 ID1355691155

PECOS Enrollment IDI20180828003651

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.

Medicare Billing Reassignments

Medicare enrollment records show Angela Bullard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Group Inc

41 mi

Orthopaedic Surgery

2311 LAKE PARK DR
Albany, GA 31707

Reassigned Medicare billing, Georgia enrollment
13 clinicians in this Medicare group

NPI 1346210705 (229) 435-0525

The Veranda, PC

41 mi

Obstetrics & Gynecology

2701 MEREDYTH DR
Albany, GA 31707

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1841350063 (229) 883-7010

Privia Medical Group Of Georgia LLC

148 mi

Internal Medicine

101 YORKTOWN DR
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
759 clinicians in this Medicare group

NPI 1013313857 (770) 460-4285

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110007

Location417 Third AvenueAlbany, GA 31703 · Dougherty County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31793 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%63 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims14 services$6.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

HANNAH HANCOCK FNP

Nurse Practitioner (Family)