Kerry Demetria Bullard

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN721378 Issued in GA

Practice address

110 Ashford Dr
Oxford, GA 30054-4646

Phone

(706) 816-5346

NPI assigned

Aug 21, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1083591846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ASHFORD DR",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544646",
            "telephone_number": "706-816-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ASHFORD DR",
            "city": "OXFORD",
            "state": "GA",
            "postal_code": "300544646",
            "telephone_number": "706-816-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "KERRY",
        "middle_name": "DEMETRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN721378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternate Paths
• Kristen Arbeiter, BCBA
• As Peoria LLC Dba Avid Solutions Intl
• Edna Banks, ETC.
• Teresa Boutwell, CST
• Kaitlin Caison, NP-C
• Care for You by US
• Caring Hands Healthcare Services Inc
• Brooke Curtin
• Dade Community Living Arrangement (Cla)

• Registered Nurse in Oxford, GA
• Providers in Oxford, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.