DR. JOHNNY LEE BONNER (M.D.) – Internal Medicine Physician, NPI 1336306547
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for DR. JOHNNY LEE BONNER (M.D.)
4310 BRONTE LN
DOUGLASVILLE, GA 301354981
Phone:
Type: Mailing
1412 MILSTEAD AVE NE
CONYERS, GA 300123877
Phone: (770) 918-8079
Type: Location
805 SANDY PLAINS ROAD
MEDICAL STAFF SERVICES
MARIETTA, GA 300666340
Phone:
Type: Mailing
Austell Road, Austell, Cobb, Georgia, 30106, United States
HOSPITALISTS OFFICE
AUSTELL, GA 30106
Phone: (770) 732-4022
Fax: (770) 732-4023
Type: Location
4370 W Main St
Dothan, AL 363054000
Phone: (334) 793-5000
Fax: (334) 793-4613
Type: Location
801 W Gordon St
Thomaston, GA 302863426
Phone: (706) 647-8111
Fax: (706) 647-7713
Type: Location
4600 Broswell Road
Atlanta, GA 30342
Phone: (256) 457-3071
Type: Location
3950 Austell Road
Hospitalists Office
Austell, GA 30106
Phone: (770) 732-4022
Fax: (770) 732-4023
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101018001135 | I | Internal Medicine | AL | TBD |
| I20120705000250 | I | Hospitalist | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 342 | 316 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 265 | 242 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 72 | 71 | $0 |
| 99291 | Critical care, first 30-74 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 30135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | CA | |
| Family Practice | GA | |
| Emergency Medicine | TX | |
| - | FL | |
| Emergency Medicine | NJ | |
| Emergency Medicine | FL | |
| Emergency Medicine | GA |
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