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VICTORIA BRIANA BONOMO
NPI 1972350122
Physician Assistant in Carrollton, GA

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
1131 BANKHEAD HWY STE 100, CARROLLTON, GA 30116(678) 890-7648 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2025, May 6, 2024 (2 updates tracked since 2024).

About Victoria Briana Bonomo NPPES

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

VICTORIA BRIANA BONOMO (NPI 1972350122) is an individual physician assistant in Carrollton, Georgia, licensed in Georgia (12942) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972350122
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA BRIANA BONOMO
Location Address1131 BANKHEAD HWY STE 100Carrollton, GA 30116-8703
Mailing Address174 Twin Oaks LnDallas, GA 30157-3859 · (828) 243-7625
Phone(678) 890-7648
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 6, 2024
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1972350122 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 GA · 12942
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.
1131 BANKHEAD HWY STE 100, Carrollton, GA 30116
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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

Victoria Briana Bonomo 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 ID6406370758
PECOS Enrollment IDI20250408001445
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30116 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

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

CARSON NAIL
Physician Assistant
1131 BANKHEAD HWY STE 100
CARROLLTON, GA 30116
Carroll County (678) 890-7648

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 Victoria Bonomo's NPI number?

The NPI number for Victoria Bonomo is 1972350122. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Victoria Bonomo located?

Victoria Bonomo practices at 1131 Bankhead Hwy Ste 100, Carrollton, GA 30116. The listed phone number is (678) 890-7648.

What is Victoria Bonomo's specialty?

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

Is Victoria Bonomo enrolled in Medicare?

Yes. Victoria Bonomo 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.

When was this NPI record last updated?

The NPPES record for Victoria Bonomo was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.