JOHN MICHAEL BONHAM PA-C
NPI 1811462906
Physician Assistant in Englewood, TN

Q: What is John Bonham's NPI number?

The NPI number for John Bonham is 1811462906. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Q: What is John Bonham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Bonham was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 04, 2018PECOS EnrolledAccepts Medicare Assignment

3360 HIGHWAY 411 N, ENGLEWOOD, TN 37329(423) 887-5131(423) 887-5131 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 15, 2023, May 1, 2023, Dec 28, 2018 and 1 more (4 updates tracked since 2018).

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About John Michael Bonham Pa-c NPPES

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

JOHN MICHAEL BONHAM PA-C (NPI 1811462906) is an individual physician assistant in Englewood, Tennessee, licensed in Tennessee (3722) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1811462906

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHN MICHAEL BONHAMCredential: PA-C

Location Address3360 HIGHWAY 411 NEnglewood, TN 37329-5276

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(423) 887-5131

Fax(423) 887-5131

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 4, 2018

Last NPPES UpdateMay 15, 20234 updates tracked since enumeration

NPPES CertifiedMay 15, 2023

✔ NPI 1811462906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 3722

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3360 HIGHWAY 411 N, Englewood, TN 37329

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Secondary Practice Location 1

Location 12121 N Ocoee St Ste 101Cleveland, TN 37311-3953 · Phone (423) 472-6548 · Fax (423) 472-8318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

John Michael Bonham Pa-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 ID7618211764

PECOS Enrollment IDI20181130001871

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.

Hospital Affiliations CMS Care Compare 2

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number441305

Location204 Medical DriveLafayette, TN 37083 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37329 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$6.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARYEVA ELLA MARTIN LMSW

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