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ANISA BULLOCK MSN, AGACNP-BC
NPI 1598235590
Nurse Practitioner in Athens, GA

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
242 KING AVENUE SUITE 210, ATHENS, GA 30606(706) 475-1700 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 9, 2022, Dec 3, 2018 (2 updates tracked since 2018).

About Anisa Bullock Msn, Agacnp-bc NPPES

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

ANISA BULLOCK MSN, AGACNP-BC (NPI 1598235590) is an individual nurse practitioner in Athens, Georgia, licensed in Georgia (RN220223) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598235590
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANISA BULLOCKCredential: MSN, AGACNP-BC
Location Address242 KING AVENUE SUITE 210Athens, GA 30606
Mailing Address554 Sterling Water DrMonroe, GA 30655-7704 · (404) 519-6862
Phone(706) 475-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 3, 2018
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1598235590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN220223
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN220223 (GA)
242 KING AVENUE SUITE 210, Athens, GA 30606
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1554 Sterling Water DrMonroe, GA 30655-7704 · Phone (404) 519-6862
Location 280 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 989-1899

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

Anisa Bullock Msn, Agacnp-bc 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 ID7113350901
PECOS Enrollment IDI20191209003012
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services142 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Other Providers at the Same Location NPPES

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

ANA DROBENIUC PA
Physician Assistant
242 KING AVENUE SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700

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 Anisa Bullock's NPI number?

The NPI number for Anisa Bullock is 1598235590. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Anisa Bullock located?

Anisa Bullock practices at 242 King Avenue Suite 210, Athens, GA 30606. The listed phone number is (706) 475-1700.

What is Anisa Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anisa Bullock enrolled in Medicare?

Yes. Anisa Bullock 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.

Is Anisa Bullock affiliated with any hospitals?

According to CMS data, Anisa Bullock is affiliated with Piedmont Newton Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anisa Bullock was last updated on March 9, 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.