ANISA BULLOCK MSN, AGACNP-BC
NPI 1598235590
Nurse Practitioner in Athens, GA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Anisa Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 140 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Anisa Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anisa Bullock reassigns Medicare benefits to 2 organizations: Piedmont Athens Specialty Care LLC (Athens, GA) and Grady Memorial Hospital Corporation (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anisa Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anisa Bullock accept?
Health plans from Ambetter Health and Oscar Health list Anisa Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Anisa Bullock, MSN, AGACNP-BC · NPI 1598235590
Nurse Practitioner physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since December 3, 2018.
## Identity
- **NPI:** 1598235590 (Entity type: Individual)
- **Enumerated:** December 3, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN220223 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 242 KING AVENUE SUITE 210, Athens, GA 30606
- **Phone:** (706) 475-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Piedmont Athens Specialty Care LLC (NPI 1184130627, Athens, GA); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1598235590) · Data from the CMS NPPES public registry.