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BONNIE P ELLENOFF DO
NPI 1306907001
Family Medicine in Austell, GA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTER, AUSTELL, GA 30106(770) 439-4700(404) 370-0428 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Mar 21, 2017, Jan 12, 2016 (3 updates tracked since 2016).

About Bonnie P Ellenoff Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE P ELLENOFF DO (NPI 1306907001) is an individual family medicine provider in Austell, Georgia, licensed in Georgia (051644) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1306907001
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBONNIE P ELLENOFFCredential: DO
Location Address3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTERAustell, GA 30106-6825
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678 · Fax (404) 370-0428
Phone(770) 439-4700
Fax(404) 370-0428
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
✔ NPI 1306907001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 051644
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3640 TRAMORE POINTE PKWY, Austell, GA 30106
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Other Identifiers 1

Medicaid0009593950GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bonnie P Ellenoff Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193734374
PECOS Enrollment IDI20060417000460
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVELYN AKINSANMI DARIUS M.D.
Family Medicine
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (404) 365-0966
DR. LORRIE LAY
Pharmacist
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (770) 439-4703
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Pharmacy (Managed Care Organization Pharmacy)
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (770) 439-4703
MOISE JEAN M.D.
Internal Medicine
3640 TRAMORE POINTE PKWY, KAISER PERMANENTE WEST COBB MEDICAL CENTER
AUSTELL, GA 30106
Cobb County (404) 365-0966
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
3640 TRAMORE POINTE PKWY
AUSTELL, GA 30106
Cobb County (770) 439-4713
ALANA K MILLER-CLAYTON
Psychologist
3640 TRAMORE POINTE PKWY, KAISER PERMANENT WEST COBB MEDICAL OFFICE
AUSTELL, GA 30106
Cobb County (404) 365-0966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Ellenoff's NPI number?

The NPI number for Bonnie Ellenoff is 1306907001. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Bonnie Ellenoff located?

Bonnie Ellenoff practices at 3640 Tramore Pointe Pkwy Kaiser Permanente West Cobb Medical Center, Austell, GA 30106. The listed phone number is (770) 439-4700.

What is Bonnie Ellenoff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bonnie Ellenoff enrolled in Medicare?

Yes. Bonnie Ellenoff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bonnie Ellenoff was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.