Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Kennedy Bullard, FNP-BC

Individual provider Registered Nurse · NPI 1730681495

Angela Kennedy Bullard, FNP-BC is a Nurse Practitioner in Tifton, Georgia. Qualified in 2017, 9 years ago. Practices with Regional Health Group Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1909 US Highway 82 W Ste 5
Tifton, GA 31793-8213
Phone: (229) 386-4300
Fax: (229) 386-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN192489 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN192489 (GA)

Record details

NPI number1730681495
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Regional Health Group Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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