Bonnie P. Ellenoff, DO
NPI 1306907001ActiveIndividual· Family Medicine· Austell, GA
Family Medicine (DO) with The Southeast Permanente Medical Group and 1 other group, practicing in Austell, Georgia. Part D covered 389 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1306907001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 051644 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 389 · 622 30-day fills |
|---|---|
| Patients | 237 |
| Total drug cost | $10,494 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- The Southeast Permanente Medical GroupJonesboro, GA · 812 clinicians
- Matrix Rehabilitation-Georgia IncMcDonough, GA · 35 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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