Active NPI
Joey Bullard, FNP-BC
- Nurse Practitioner
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP239540
- Practice address
- 462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313-4000 - Phone
- (912) 369-9310
- Fax
- (912) 877-3102
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP239540 | GA | Primary |
Addresses
Primary practice location
462 Elma G Miles Pkwy Ste 102a
Hinesville, GA 31313-4000
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
Other practice location 1
100 S Madison St
Thomasville, GA 31792
Phone (229) 236-0831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1341
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP239540 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Optim Jenkins Emergency Medical Services, LLC | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Nurse Practitioner | Current | Accepting new patients |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Southland Optim Jenkins Emergency Medical Services, LLC | Current | Accepting new patients | |
| Wills Memorial Emergency Medical Services, LLC | Past | Accepting new patients | |
| Emanuel County Hospital Authority | Past | Accepting new patients |
Locations
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
462 Elma G Miles Pkwy
Ste 102A
Hinesville, GA 31313
Phone (912) 369-9310
931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Swainsboro, GA
- NPI 1003221243
-
- Emergency Medicine Physician
- Millen, GA
- NPI 1265826242
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA, Nurse Practitioner
-
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
- Emergency Medicine Physician
- Hinesville, GA
- NPI 1477913580
-
- Medicare Defined Swing Bed Hospital Unit
- Swainsboro, GA
- NPI 1255546032
-
- Emergency Medicine Physician
- Washington, GA
- NPI 1275066326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1831731850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MADISON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925473",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 ELMA G MILES PKWY STE 102A",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134000",
"telephone_number": "912-369-9310",
"fax_number": "912-877-3102"
}
],
"practiceLocations": [
{
"address_1": "100 S Madison St",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "GA",
"postal_code": "31792",
"country_code": "US",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLARD",
"first_name": "JOEY",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "APRN-NP239540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.