MRS. DEAXTRA BONHAM WHNP
NPI 1487100566
Nurse Practitioner - Women's Health in Atlanta, GA

Q: What is Deaxtra Bonham's NPI number?

The NPI number for Deaxtra Bonham is 1487100566. It was assigned to this individual provider in the NPPES registry on August 29, 2016. The provider is also known as Deaxtra Hunt Whnp.

Q: What is Deaxtra Bonham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Deaxtra Bonham was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 29, 2016

550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308(404) 872-3121(404) 872-3119 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Aug 25, 2021, Aug 4, 2021 and 2 more (5 updates tracked since 2016).

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About Mrs. Deaxtra Bonham Whnp NPPES

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

MRS. DEAXTRA BONHAM WHNP (NPI 1487100566) is an individual women's health provider in Atlanta, Georgia, licensed in Georgia (GAA-NP000016) and active in the NPI registry since August 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487100566

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. DEAXTRA BONHAMCredential: WHNP

Location Address550 PEACHTREE ST NE STE 1275Atlanta, GA 30308-2240

Mailing Address550 Peachtree St Ne Ste 1275Atlanta, GA 30308-2240 · (404) 872-3121 · Fax (404) 872-3119

Phone(404) 872-3121

Fax(404) 872-3119

Sole ProprietorNo

Enumeration DateAugust 29, 2016

Last NPPES UpdateDecember 6, 20215 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1487100566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in GA · GAA-NP000016✔ Licensed in VA · 0024173381✔ Licensed in NC · 5009520

550 PEACHTREE ST NE STE 1275, Atlanta, GA 30308

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Other Names 1

Former Name (1)Deaxtra Hunt Whnp

Secondary Practice Locations 2

Location 115425 Warwick Blvd Ste HNewport News, VA 23608-1579 · Phone (757) 874-8400

Location 24714 Marshall AveNewport News, VA 23607 · Phone (757) 380-8709

Other Identifiers 1

Medicaid003254615GA

Other Providers at the Same Location NPPES 17

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

JILL M ANTISELL CNM

Midwife