BONNIE GRULLON-COOPER – Certified Registered Nurse Anesthetist, NPI 1902267974

BONNIE GRULLON-COOPER is a healthcare provider. based in Mcdonough, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN193456 (GA). The NPI Number for BONNIE GRULLON-COOPER is 1902267974

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE GRULLON-COOPER
NPI
1902267974
Phone
(478) 320-2379
Address
906 TORREY PINES COURT
Enumeration Date
17 March 2016
Last Update Date
17 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043511745
Graduation Year
2016 (10 years ago)
PAC ID
4183918568
Group Practice PAC ID
2163837972
Professional Enrollment ID
I20160808001646
Address ID
GA302651618NE745XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for BONNIE GRULLON-COOPER

  • 906 TORREY PINES COURT

    MCDONOUGH, GA 30253

    Phone: (478) 320-2379

    Type: Mailing

  • 80 JESSE HILL JR DR. BOX 88

    GRADY HOSPITAL

    ATLANTA, GA 30303

    Phone: (404) 616-0879

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$20
View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-08

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
I20160808001646ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1312$0
View full utilization report →

Insurance plans in this area (ZIP 30253)

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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: 2163837972View full group profile
NameSpecialtyState
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantFL
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantFL
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

How is BONNIE GRULLON-COOPER identified in CMS data?
CMS-hosted NPPES data lists BONNIE GRULLON-COOPER with NPI 1902267974.
Is BONNIE GRULLON-COOPER listed as active for patients and plans?
The listing shows BONNIE GRULLON-COOPER as active in the NPI system.
What healthcare role does BONNIE GRULLON-COOPER hold?
Scheduling teams often label BONNIE GRULLON-COOPER under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does BONNIE GRULLON-COOPER serve?
BONNIE GRULLON-COOPER's listing highlights Mcdonough, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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