Alyssa Bina Buono, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

88885 Issued in GA

Practice address

10055 Ford Ave Ste 4a
Richmond Hill, GA 31324-3974

Phone

(912) 527-5352

NPI assigned

May 18, 2018

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alyssa Bina Ettinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyssa.buono.1@15841.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Unionville Pediatrics

  • Pediatrics Physician
  • Unionville, CT
  • NPI 1497748636
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1437649019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE STE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE STE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243974",
            "telephone_number": "912-527-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "ALYSSA",
        "middle_name": "BINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL52356",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "88885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "ETTINGER",
            "middle_name": "BINA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Medical Associates,Inc.
• Imari Alexis Bryant
• Loretta Paulette Bryant, LPN
• Lori Buchanan
• Anna K Buie
• Lindsay Christine Burdette, MPT
• Ciara A Burgos
• Ann Elder Burrell, RPH
• Ciarea Moet Burton
• Stephen Burton, L.C.P.C.

• Pediatrics Physician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.

Verify at the official NPI Registry.