| Dr Johnny Lee Bonner, MD | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 918-8079 | |
| Not Available |
| Full Name | Dr Johnny Lee Bonner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 1412 Milstead Ave Ne, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336306547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 67277 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 67277 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Relias Emergency Medicine Specialists Of Northport, Llc | 2668724634 | 23 |
| Emergency Group Of Columbus Llc | 2668735515 | 42 |
| Entity Name | Relias Emergency Medicine Specialists Of Northport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699261149 PECOS PAC ID: 2668724634 Enrollment ID: O20181003001104 |
| Entity Name | Relias Emergency Medicine Specialists Of Regional, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619463163 PECOS PAC ID: 9436401106 Enrollment ID: O20181008000902 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny Lee Bonner, MD 4310 Bronte Ln, Douglasville, GA 30135-4981 Ph: () - | Dr Johnny Lee Bonner, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-8079 |
Dr. Sitharam Chowdary Nandigam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Marshall David Almand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Ekundayo Adedapo Falase, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Mr. Richard Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818 | |
Osarenomase Egharevba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Dr. Christin-lauren Tanksley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310 | |
Dr. Farhana Quasem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2080 Eastside Drive, Suite A, Conyers, GA 30013 Phone: 678-625-7800 Fax: 678-625-7888 |