Active NPI
Wyndham Alexander Bonett, MD
- Interventional Pain Medicine Physician
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 71520
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.41341 | AL | MD | Pain Medicine (Anesthesiology) Physician |
| 71520 | TN | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Consultants in Pain Management, PC | Anesthesiology | Current | Accepting new patients |
| Consultants in Pain Management, PC | Current | 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
- 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.
-
- Pain Medicine Physician
- Chattanooga, TN
- NPI 1275607129
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Durable Medical Equipment & Medical Supplies
- Athens, TN
- NPI 1659072791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.