Pkanita Bonner Marion, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F01191266 Issued in GA

Practice address

8425 Mall Parkway
Lithonia, GA 30038

Phone

(678) 526-1014

Fax

(678) 526-1044

NPI assigned

Feb 1, 2019

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

Other names 1

• Pkanita Bonner Former name

Medicare fee-for-service enrollment

Enrolled in GA, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmarion1259444@nychhc.direct-ci.com

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD
• Marion & Associates Family Care

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1871225300
  Authorized official Same address or phone
• Fresenius Medical Care Redan, LLC

  dba Fresenius Medical Care Stonecrest

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lithonia, GA
  • NPI 1558812131
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1598220717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581395",
            "telephone_number": "205-767-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 MALL PARKWAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30038",
            "telephone_number": "678-526-1014",
            "fax_number": "678-526-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "PKANITA",
        "middle_name": "BONNER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01191266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PKANITA",
            "last_name": "BONNER",
            "credential": "REGISTERED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarandeep K. Makkar, MD, DO
• Celia C Mamby, MD
• Shantae Mangaroo, M.D.
• Keyonna Manning, CPHT
• Juan Mannings, R.S.A.
• Mark Lynn OD & Associates PC (Visionworks)
• Mark Lynn OD & Associates, PC (Visionworks)
• Mikeyera Marshall
• Latoria Martin, LNHA, BSN
• Quinita Shantell Martin, NP

• Family Nurse Practitioner in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.