Antonia Rebecca Bunce, MD
Individual provider Active NPI Internal Medicine Physician · Atlanta, GA
NPI 1700919404 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1700919404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 051442 (GA)
- Practice address
- 875 Johnson Ferry Rd
Ste 200
Atlanta, GA 30342-1418 - Phone
- (404) 497-1020
- Fax
- (404) 252-1530
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northside Primary Care Professional Services,LLC
Physiotherapy Associates Inc
Practice addresses (Care Compare)
3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633
875 Johnson Ferry Rd
Suite 100
Atlanta, GA 30342-1418
Phone (404) 497-1020
875 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30342-1418
Hospital & facility affiliations
- Centerwell Home Health
- Accentcare Home Health of Georgia
- Northside Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
- Northside Hospital Cherokee
- Wellstar Windy Hill Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100224000453 | GA | Practitioner - Internal Medicine | 6507900842 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051442 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Internal Medicine, LLP | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Internal Medicine | Current |
Accepting new patients |
| Northside Primary Care Professional Services, LLC | Current |
Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current |
Accepting new patients | |
| The Medical Group of Saint Joseph'S, LLC | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
875 Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 497-1020
875 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 497-1020
875 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 257-9933
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-4100
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 051442 | GA | Yes |
Addresses
Primary practice location
875 Johnson Ferry Rd
Ste 200
Atlanta, GA 30342-1418
Mailing address
875 Johnson Ferry Rd
Ste 200
Atlanta, GA 30342-1418
Phone (404) 497-1020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941298354B | Medicaid | GA | |
| 941298354D | Medicaid | GA | |
| 941298354A | Medicaid | GA | |
| 941298354C | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PDIMR_atlanta@northside.gwaydirect.com | Direct |
Other providers in Atlanta, GA
- James B Bumgarner
- Katherine Elizabeth Bumpas
- Nassoma King Bumpers
- Chanarith Bun
- Chanary Bun
- Milton Randolph Bundschu Jr.
- Kyle Elizabeth Bundschuh
- Jillian Marie Bundy
- William R Bundy
- Claire Elizabeth Bunn
All providers in Atlanta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.