Raeonda Bullard, MD
Raeonda Bullard, MD is an Obstetrics & Gynecology Physician in Douglasville, GA, registered under NPI 1144713652.
Getting there
The practice address on file is 6095 PROFESSIONAL PKWY STE A210, Douglasville, GA 30134. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 93170 | GA | Obstetrics & Gynecology Physician primary |
| 010079 | GA | Obstetrics & Gynecology Physician |
This provider holds licence 93170 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Obstetrics/gynecology
- PAC ID
- 1557613650
Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Obstetrics & Gynecology covers
An 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 physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | 93170 | GA | primary |
| 207V00000X | Obstetrics & Gynecology Physician | 010079 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1144713652 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 8, 2018 |
| Last updated | Sep 26, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
6095 PROFESSIONAL PKWY STE A210 Douglasville, GA 30134 (770) 949-4188 Fax (770) 949-1614 |
| Other identifiers |
300034164A
(GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 7 | 1 | 3 | 6 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 5 | 1 | 6 | 6 | 1 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.