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

Dr. Lauri Wilkes Bullen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1760673917

Dr. Lauri Wilkes Bullen, MD is an Obstetrics/Gynecology in Dublin, Georgia. Graduated from Mercer University School of Medicine in 2004, 22 years ago. Practices with Providence OBGYN LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
22
Trained at
Mercer University School of Medicine
Licensed in
GA, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

206 Fairview Park Dr
Dublin, GA 31021-2547
Phone: (478) 246-4304
Fax: (478) 246-4282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 86978 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 30627 (SC)

Record details

NPI number1760673917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Providence Obgyn Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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