Individual provider Active NPI

Joey Bullard, FNP-BC

  • Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1831731850
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP239540 Issued in GA
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

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210000538 GA Practitioner - Nurse Practitioner 1355774159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Emanuel County Hospital AuthorityGroup PAC ID 3577473040, 40 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Southland Optim Jenkins Emergency Medical Services, LLCGroup PAC ID 9537461538, 19 clinicians

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

LicenseStateTypeSpecialty
APRN-NP239540GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince May 1, 2020 Accepting new patients
Emanuel County Hospital Authority CurrentSince May 1, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Emanuel County Hospital Authority Current Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince May 1, 2020 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.

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

Verify at the official NPI Registry.