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

Raeonda Bullard, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1144713652

Raeonda Bullard, MD is an Obstetrics/Gynecology in Douglasville, Georgia. Graduated from Medical College of Georgia School of Medicine in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2018
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

6095 Professional Pkwy Ste A210
Douglasville, GA 30134-5611
Phone: (770) 949-4188
Fax: (770) 949-1614
Show map & directions

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

Additional practice locations (1)

  • 2029 Pernoshal Ct, Dunwoody, GA 30338-6405 — (770) 730-0451

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 93170 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 010079 (GA)

Record details

NPI number1144713652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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