Christy M Mountain-Bonner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

057222 Issued in GA

Practice address

601 Ferncrest Dr Ste B
Suite B
Sandersville, GA 31082-1801

Phone

(478) 552-0006

NPI assigned

Sep 14, 2006

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Christy M Mountain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmountainbonner@chcllc.opdirect.net

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.

• Children's Healthcare Center, LLC

  • Pediatrics Physician
  • Sandersville, GA
  • NPI 1174466577
  NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1710083357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310820935",
            "telephone_number": "478-412-6522",
            "fax_number": "478-412-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FERNCREST DR STE B",
            "address_2": "SUITE B",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821801",
            "telephone_number": "478-552-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTAIN-BONNER",
        "first_name": "CHRISTY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "057222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996007389B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "057222",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "MOUNTAIN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Memorial Hospital of Washington County (Washington County Regional Medical Center & ECF)
• Tametris Lanette Merrell
• Mohan Papudesu MD (Womens Health Care Center)
• Brittany Mitchell Moment, MS, RDN, LD
• Julie Michelle Moore, OT
• Tierra Mechele Murray, LCSW
• Lillian Nixon
• Jordan Norris
• North Lake Express, LLC
• Oconee Community Service Board

• Pediatrics Physician in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.