NPI age
7 years
Enumerated 2018-06-08
● Active
Type 1 · Individual
Raeonda Bullard, MD
Bullard is 1 of 12 obstetrics & gynecology providers in Douglasville and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Practice location
6095 Professional Pkwy Ste A210
Douglasville, GA 301345611
Mailing address
6095 Professional Pkwy Ste A210
Douglasville, GA 301345611
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2029 Pernoshal Ct
Dunwoody, GA 303386405
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300034164A |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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