Active NPI
Anna Wilson Bunker, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 82846
- Practice address
- 1086 1/2 Baxter St Ste a
Athens, GA 30606-6316 - Phone
- (706) 353-0606
- Fax
- (706) 353-0798
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 82846 | GA | Primary |
Addresses
Primary practice location
1086 1/2 Baxter St Ste a
Athens, GA 30606-6316
Mailing address
1086 1/2 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other names 1
- Anna Kathryn Wilson
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Athens Neurological Associates, P.C. | Current | Accepting new patients | |
| Athens Neurological Associates, P.C | Current | Accepting new patients |
Locations
1086 Baxter St
Athens, GA 30606
Phone (706) 353-0606
1086 Baxter St
Ste A
Athens, GA 30606
Phone (706) 353-0606
1088 Baxter St
Athens, GA 30606
Phone (706) 353-0606
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1014 Forsyth St
Ste 100
Macon, GA 31201
Phone (478) 633-7600
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Interoperability endpoints
- abunker@athensneuro.gwaydirect.com
- abunker1170496@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Neurology Physician
- Athens, GA
- NPI 1013969831
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Family Nurse Practitioner
- Athens, GA
- NPI 1750796256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1376961565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST STE A",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNKER",
"first_name": "ANNA",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "82846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "WILSON",
"middle_name": "KATHRYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.