Individual provider Active NPI

Wyndham Alexander Bonett, MD

  • Interventional Pain Medicine Physician
  • Athens, TN
National Provider Identifier
1609338748
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
71520 Issued in TN
Practice address
135 N Meadows Dr Ste C
Athens, TN 37303-4172
Phone
(423) 648-8480
Fax
(423) 648-8481
NPI assigned
Apr 5, 2019
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.41341 AL
Interventional Pain Medicine Physician 208VP0014X 71520 TN Primary

Addresses

Primary practice location

135 N Meadows Dr Ste C
Athens, TN 37303-4172

Mailing address

PO Box 197517
Nashville, TN 37219-7517
Phone (423) 648-8480

Other practice location 1

2000 Stein Dr
Chattanooga, TN 37421-1690
Phone (423) 648-8480

Other practice location 2

980 Highway 28 Ste 101
Jasper, TN 37347-3696
Phone (423) 648-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230929003469 AL Practitioner - Anesthesiology 6709119274 Reassigns benefits to 1 organization
I20240815000161 TN Practitioner - Pain ManagementPractitioner - Anesthesiology 6709119274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Florida State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consultants in Pain Management, P.C.Group PAC ID 0143132522, 11 clinicians

Practice addresses (Care Compare)

2000 Stein Dr
Chattanooga, TN 37421-1690
Phone (423) 648-8480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.41341ALMDPain Medicine (Anesthesiology) Physician
71520TNMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 22, 2023 Accepting new patients
Consultants in Pain Management, PC Anesthesiology CurrentSince Jun 21, 2024 Accepting new patients
Consultants in Pain Management, PC CurrentSince Jun 21, 2024 Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

135 N Meadows Dr
Ste C
Athens, TN 37303
Phone (423) 648-8480

2000 Stein Dr
Chattanooga, TN 37421
Phone (423) 648-8480

980 Highway 28
Ste 101
Jasper, TN 37347
Phone (423) 648-8480

Interoperability endpoints

  • Direct secure messaging: wyndham.bonett@conpainman.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1609338748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197517",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372197517",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MEADOWS DR STE C",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034172",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Stein Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374211690",
            "country_code": "US",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 Highway 28 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473696",
            "country_code": "US",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONETT",
        "first_name": "WYNDHAM",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD.41341",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "71520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.