Paola Bonaccorsi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

001588 Issued in GA

Practice address

6470 E Johns Xing Ste 200
Johns Creek, GA 30097-1539

Phone

(470) 282-5729

Fax

(770) 674-5795

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

May River DermatologyGroup PAC ID 8022156934, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIFHAA
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: paola.bonaccorsi@mrdl.eclinicaldirectplus.com

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.

• May River Dermatology

  dba May River Dermatology, LLC

  • Medical Specialty Clinic/Center
  • Bluffton, SC
  • NPI 1770723512

  GA

  Medicare reassignment Care Compare group NPD
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381

  Dermatology

  Medicare reassignment NPD
• Dermatology Associates of Georgia, LLC

  • Specialist
  • Decatur, GA
  • NPI 1063560803
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1447437322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971539",
            "telephone_number": "470-282-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971539",
            "telephone_number": "470-282-5729",
            "fax_number": "770-674-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCORSI",
        "first_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "001588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Bochenek
• Body-N-Balance
• Shae Boguslawski
• Teesia Lynn Bolar-Dixon
• Bon Health Clinic L.L.C.
• Jessica Bonilla, FNP-C
• Cassandre Bosse
• William Bowen, PHARM.D.
• Susan Lynn Bower, M.D.
• Meagan Lee Brady, DNP, AGACNP-BC

• Dermatology Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.