Sheba M Bonner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

500 Lanier Ave W Ste 508
Fayetteville, GA 30214-7637

Phone

(678) 489-7384

NPI assigned

Jun 13, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1508609140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 ADAMSVILLE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313824",
            "telephone_number": "404-623-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 508",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147637",
            "telephone_number": "678-489-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "SHEBA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Therapy by George Massages LLC
• Camille Franncine Bolton, DPT
• Holliann Elizabeth Bolton, CNM
• Jazeel Rachel Bonner, BS, RBT
• Natalie Bernett Bonner, FNP
• Loida E. Bonney, M.D.
• Benita L Bonser, MD
• Philip Borger, MD
• Jennifer Boswell
• Dia Boutwell, PHD

• Mental Health Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.