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

Dr. Mary Anne Bullard, MD

Individual provider Diagnostic Radiology Physician · NPI 1730136268

Dr. Mary Anne Bullard, MD is a Diagnostic Radiology in Thomasville, Georgia. Graduated from Wayne State University School of Medicine in 1994, 32 years ago. Practices with Grady General Hospital, a 30-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
Wayne State University School of Medicine
Licensed in
GA
In the registry since
2006
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

915 Gordon Ave
Thomasville, GA 31792-6614
Phone: (229) 228-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 048331 (GA)

Record details

NPI number1730136268
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESMay 8, 2008

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Grady General Hospital — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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