ANGELA KENNEDY BULLARD (FNP-BC) – Family Nurse Practitioner, NPI 1730681495
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for ANGELA KENNEDY BULLARD (FNP-BC)
1909 US HIGHWAY 82 W STE 5
TIFTON, GA 317938213
Phone: (229) 386-4300
Fax: (229) 386-8300
Type: Mailing
2701, Meredyth Drive, Pointe North, Dawson Heights, Albany, Dougherty County, Georgia, 31707, United States
ALBANY, GA 317072267
Phone: (229) 883-7010
Fax: (229) 435-4022
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $870.
Total Amount is formed as General ($870) + Research ($0) + Ownership ($0) = $870.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($215).
Total Amount
$870
General + Research + Ownership
Payments
20
Total payment records
General Amount
$870
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $215 |
| Novo Nordisk Inc | $192 |
| AstraZeneca Pharmaceuticals LP | $186 |
| Sumitomo Pharma America, Inc. | $125 |
| Exact Sciences Corporation | $76 |
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: 2018-08-28
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 |
|---|---|---|---|---|
| I20180828003651 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31793)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | GA |
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