MRS. ANNA BULLIS (NP) – Nurse Practitioner, NPI 1104494897

MRS. ANNA BULLIS (NP) is a healthcare provider. based in Roswell, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN239431 (GA). The NPI Number for MRS. ANNA BULLIS (NP) is 1104494897

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANNA BULLIS (NP)
NPI
1104494897
Phone
(770) 751-2500
Address
3000 HOSPITAL BLVD
Enumeration Date
17 June 2021
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062910291
Graduation Year
2021 (5 years ago)
PAC ID
6002207834
Group Practice PAC ID
8820983430
Professional Enrollment ID
I20220105000116
Address ID
GA301651415RO501XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ANNA BULLIS (NP)

  • 3000 HOSPITAL BLVD

    ROSWELL, GA 300764915

    Phone: (770) 751-2500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220105000116INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making123119$0
99284Emergency department visit with moderate level of medical decision making7979$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2424$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820983430View full group profile
NameSpecialtyState
Nurse PractitionerTN
-VA
Nurse PractitionerGA
Nurse PractitionerTN
Nurse PractitionerGA
-VA
Nurse PractitionerVA
Nurse PractitionerTN
-TN
-GA

Reviews

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Frequently asked questions

What is the registry number for MRS. ANNA BULLIS (NP)?
The registry entry for MRS. ANNA BULLIS (NP) shows NPI 1104494897.
Should I treat MRS. ANNA BULLIS (NP) as an active provider?
Patients and plans typically see MRS. ANNA BULLIS (NP) as active in the national extract.
How should patients interpret MRS. ANNA BULLIS (NP)'s specialty?
The extract shows Nurse Practitioner for MRS. ANNA BULLIS (NP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. ANNA BULLIS (NP)?
MRS. ANNA BULLIS (NP) is associated with Roswell, Georgia in the same public data insurers reference.
Can I export MRS. ANNA BULLIS (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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