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DR. JOHNNY LEE BONNER M.D.
NPI 1336306547
Internal Medicine in Conyers, GA

Active since May 16, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1412 MILSTEAD AVE NE, CONYERS, GA 30012(770) 918-8079 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Jun 17, 2021, Oct 22, 2019 and 5 more (8 updates tracked since 2015).

About Dr. Johnny Lee Bonner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNY LEE BONNER M.D. (NPI 1336306547) is an individual internal medicine provider in Conyers, Georgia, licensed in Georgia (67277) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1336306547
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHNNY LEE BONNERCredential: M.D.
Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877
Mailing Address4310 Bronte LnDouglasville, GA 30135-4981
Phone(770) 918-8079
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2008
Enumeration DateMay 16, 2008
Last NPPES UpdateJuly 30, 20248 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1336306547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 67277
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 67277 (GA)
1412 MILSTEAD AVE NE, Conyers, GA 30012
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14370 W Main StDothan, AL 36305-4000 · Phone (334) 793-5000 · Fax (334) 793-4613
Location 24600 Broswell RoadAtlanta, GA 30342 · Phone (256) 457-3071
Location 3801 W Gordon StThomaston, GA 30286-3426 · Phone (706) 647-8111 · Fax (706) 647-7713
Location 43950 Austell Road, Hospitalists OfficeAustell, GA 30106 · Phone (770) 732-4022 · Fax (770) 732-4023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Johnny Lee Bonner M.d. 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.

PECOS PAC ID2062605462
PECOS Enrollment IDI20101018001135, I20120705000250
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
311 services297 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
250 services234 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services78 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALKER LAKE PHYSICIAN SERVICES, PC
Hospitalist
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
DR. BABAJIDE O. FALANA M.D.
Internal Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
THI T. NGUYEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
ROMIN PATEL
Registered Nurse
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
ASHLEY MARIE MCGUIRE-TANKSLEY PA-C
Physician Assistant
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 922-4024
JAN DELROY JOHNSON NP
Nurse Practitioner (Family)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3754
DR. CLIFFORD N GROSSMAN MD
Radiology (Diagnostic Radiology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
KUSH SHARMA MD
Psychiatry & Neurology (Neurology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (470) 788-1010

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 Johnny Bonner's NPI number?

The NPI number for Johnny Bonner is 1336306547. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is Johnny Bonner located?

Johnny Bonner practices at 1412 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 918-8079.

What is Johnny Bonner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Johnny Bonner enrolled in Medicare?

Yes. Johnny Bonner 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.

What insurance does Johnny Bonner accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Johnny Bonner 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 Johnny Bonner affiliated with any hospitals?

According to CMS data, Johnny Bonner is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Johnny Bonner was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.