DANIEL BROCK BONNER NP-C
NPI 1720755192
Nurse Practitioner - Family in Thomasville, GA

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
116 MIMOSA DR, THOMASVILLE, GA 31792(229) 584-5670 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2021, Aug 24, 2021 (2 updates tracked since 2021).

About Daniel Brock Bonner Np-c NPPES

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

DANIEL BROCK BONNER NP-C (NPI 1720755192) is an individual family provider in Thomasville, Georgia, licensed in Georgia (RN264248) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720755192
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL BROCK BONNERCredential: NP-C
Location Address116 MIMOSA DRThomasville, GA 31792-6605
Mailing Address413 Junius StThomasville, GA 31792-7448 · (229) 224-7450
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1720755192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN264248
116 MIMOSA DR, Thomasville, GA 31792

Accepted 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

Daniel Brock Bonner Np-c 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 ID42618100
PECOS Enrollment IDI20211005000884
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Archbold Grady

Acute Care Hospitals · Cairo, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

Nurse Practitioner
116 MIMOSA DR
THOMASVILLE, GA 31792
Urology
116 MIMOSA DR, SUITE 2
THOMASVILLE, GA 31792
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Nurse Practitioner (Family)
116 MIMOSA DR
THOMASVILLE, GA 31792
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Internal Medicine (Interventional Cardiology)
116 MIMOSA DR
THOMASVILLE, GA 31792

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 Daniel Bonner's NPI number?

The NPI number for Daniel Bonner is 1720755192. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Daniel Bonner located?

Daniel Bonner practices at 116 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 584-5670.

What is Daniel Bonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Bonner enrolled in Medicare?

Yes. Daniel 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 Daniel Bonner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Daniel 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 Daniel Bonner affiliated with any hospitals?

According to CMS data, Daniel Bonner is affiliated with Archbold Memorial and Archbold Grady.

When was this NPI record last updated?

The NPPES record for Daniel Bonner was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.