Courtney Bullard, AGNP-C
NPI 1134772304ActiveIndividual· Nurse Practitioner, Adult Health· Southaven, MS
Nurse Practitioner, Adult Health (AGNP-C) with Wound Management Specialists LLC and 2 other groups, practicing in Southaven, Mississippi. 81 Medicare patients in 2024, $175,126 paid; nearly all of their 213 Part D prescriptions were generic (94%). Paratek Pharmaceuticals, Inc. reported $19.47 in payments in 2025, mostly food and beverage. Lists Panola Medical Center as a hospital affiliation.
Overview
| NPI | 1134772304 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | No |
| NPI issued | Jul 17, 2019 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 903421 | MS |
| Nurse Practitioner, Gerontology | 363LG0600X | 903421 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 982 across 23 procedure codes |
| Paid by Medicare | $175,126 |
Part D prescriptions in 2024
| Prescriptions (claims) | 213 · 213 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $16,620 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Wound Management Specialists LLCColumbia, SC · 149 clinicians
- Healthcare Plus Limited Liability CompanyEquality, AL · 125 clinicians
- Progressive Medical Management of Batesville LLCBatesville, MS · 23 clinicians
Hospital affiliation
- Panola Medical CenterBatesville, MS
Industry payments (Open Payments)
- 2025$19.47 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | $19.47 | 1 |
What the 2025 payments were for
- Food and Beverage$19.47 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Southaven
- 1356680573
- 1427333434
All Nurse Practitioner, Adult Health providers in Mississippi →