Individual provider Active NPI

Bonnie G. Roberts, NP

  • Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1326091554
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
119753 Issued in GA
Practice address
1707 Watson Blvd
Suite 200
Warner Robins, GA 31093-3606
Phone
(478) 929-8030
Fax
(478) 929-8095
NPI assigned
May 18, 2006
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 119753 GA Primary

Addresses

Primary practice location

1707 Watson Blvd
Suite 200
Warner Robins, GA 31093-3606

Mailing address

120B Osigian Blvd Ste 100
Warner Robins, GA 31088-8939
Phone (478) 953-5358

Other names 1

  • Bonnie G Bower Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000360 GA Practitioner - Nurse Practitioner 1658319041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
119753GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Emergency Group, LLC CurrentSince Apr 15, 2016 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Central Georgia Heart Institue, LLC PastSince Jan 1, 2005 Accepting new patients

Locations

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFHCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1326091554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120B OSIGIAN BLVD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888939",
            "telephone_number": "478-953-5358",
            "fax_number": "478-953-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WATSON BLVD",
            "address_2": "SUITE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933606",
            "telephone_number": "478-929-8030",
            "fax_number": "478-929-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BONNIE",
        "middle_name": "G.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "119753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BOWER",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.