Active NPI
Jeralyn Wood Bonner, MSW
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1780756643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 197
- Practice address
- 2801 Buford Hwy NE
Suite 508
Atlanta, GA 30329-2149 - Phone
- (404) 636-1108
- Fax
- (404) 636-9482
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 585 | GA | |
| Marriage & Family Therapist | 106H00000X | 197 | GA | Primary |
Addresses
Primary practice location
2801 Buford Hwy NE
Suite 508
Atlanta, GA 30329-2149
Mailing address
2801 Buford Hwy NE
Suite 508
Atlanta, GA 30329-2149
Phone (404) 636-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585 | GA | MD | Clinical Social Worker |
| 197 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dairlyn Chelette LCSW LLC | Past | Accepting new patients | |
| Robert M. Fredrick, LCSW,PC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Berkeley Lake, GA
- NPI 1215592118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780756643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "SUITE 508",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292149",
"telephone_number": "404-636-1108",
"fax_number": "404-636-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "SUITE 508",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292149",
"telephone_number": "404-636-1108",
"fax_number": "404-636-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "JERALYN",
"middle_name": "WOOD",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "585",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.