Individual provider Active NPI

Elissa Handley Tyson Bonner, MD

  • Family Medicine Physician
  • Center Point, AL
National Provider Identifier
1780178269
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.38980 Issued in AL
Practice address
2152 Old Springville Rd
Center Point, AL 35215-4005
Phone
(205) 838-6000
Fax
(205) 838-6078
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.38980 AL Primary

Addresses

Primary practice location

2152 Old Springville Rd
Center Point, AL 35215-4005

Mailing address

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Other practice location 1

5720 1st Ave S
Birmingham, AL 35212-2522
Phone (205) 380-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002986 AL Practitioner - Family Practice 2062813439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Health Center IncGroup PAC ID 9931106986, 22 clinicians

Practice addresses (Care Compare)

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Hospital & facility affiliations

  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38980ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Health Center Inc Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Christ Health Center Inc CurrentSince Jul 1, 2021 Accepting new patients
St. Vincent'S East Past Accepting new patients

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

2152 Old Springville Rd
Center Point, AL 35215
Phone (205) 838-6000

Interoperability endpoints

  • Direct secure messaging: elissa.tyson.1@12373.direct.athenahealth.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 and National Provider Directory roles.

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1780178269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352122522",
            "country_code": "US",
            "telephone_number": "205-380-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "ELISSA",
        "middle_name": "HANDLEY TYSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.38980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, AL

Sources for this page

Verify at the official NPI Registry.