DR. LEONARDO FATOR GOUVEA BONILHA (M.D. , PH.D.) – Neurology Physician, NPI 1861699969
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
685 NEUROLOGY in GA
Provider Addresses for DR. LEONARDO FATOR GOUVEA BONILHA (M.D. , PH.D.)
12 Executive Park Dr NE
Atlanta, GA 303292206
Phone: (404) 778-5943
Type: Location
171 Ashley Ave
Charleston, SC 294258908
Phone: (843) 792-1414
Fax: (843) 792-8626
Type: Location
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282751461
Phone: (843) 792-6200
Type: Mailing
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone: (864) 522-8603
Type: Mailing
The Medical University of South Carolina, 171, Ashley Avenue, Charleston, Charleston County, South Carolina, 29425, United States
CHARLESTON, SC 294258908
Phone: (843) 792-1414
Fax: (843) 792-8626
Type: Location
8 RICHLAND MEDICAL PARK DR STE 420
COLUMBIA, SC 292038004
Phone: (803) 434-8050
Fax: (803) 933-3005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2023-09-09 • Largest payer in this snapshot: SK Life Science, Inc. ($99).
Total Amount
$99
General + Research + Ownership
Payments
1
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SK Life Science, Inc. | $99 |
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: 2012-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20120822000821 | I | Neurology | SC | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 99 | 18 | $0 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 52 | 26 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 24 | 24 | $0 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 20 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30329)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | GA | |
| Internal Medicine | NC | |
| Physician Assistant | SC | |
| - | SC | |
| H O S P I T A L I S T | GA | |
| Vascular Surgery | FL | |
| - | GA | |
| Interventional Cardiology, Internal Medicine | SC | |
| Orthopedic Surgery | SC |
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