DR. MARY ANNE BULLARD (M.D.) – Diagnostic Radiology Physician, NPI 1730136268
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
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Provider Addresses for DR. MARY ANNE BULLARD (M.D.)
920, Cairo Road, Booker Heights, Thomasville, Thomas County, Georgia, 31792, United States
THOMASVILLE, GA 317924255
Phone: (229) 228-8800
Fax: (229) 228-8892
Type: Mailing
915, Gordon Avenue, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States
THOMASVILLE, GA 317926614
Phone: (229) 228-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050805000435 | I | Diagnostic Radiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 289 | 257 | $0 |
| 77063 | Screening 3d breast mammography | 234 | 234 | $0 |
| 77067 | Screening mammography | 234 | 234 | $0 |
| 71046 | X-ray of chest, 2 views | 137 | 130 | $0 |
| 70450 | Ct scan head or brain without contrast | 93 | 91 | $0 |
Insurance plans in this area (ZIP 31792)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GA | 71250 | CT scan chest | 46 | 45 |
| DIAGNOSTIC RADIOLOGY | GA | 73562 | X-ray of knee, 3 views | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | GA | 74177 | CT scan of abdomen and pelvis with contrast | 48 | 47 |
| DIAGNOSTIC RADIOLOGY | GA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | GA | |
| Nuclear Medicine, Diagnostic Radiology | GA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA |
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