John D Bonner, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000028919 Issued in TN

Practice address

9453 Dayton Pike
Soddy Daisy, TN 37379-4751

Phone

(423) 332-8222

Fax

(423) 332-8278

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Ophthalmology

Education

University of South Alabama College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Merit-based Incentive Payment System (MIPS)

Final score

92.43 of 100Reported as individual

Quality

86.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/155265c8-cc75-4495-acc6-6ac5bd3a872e/
• Direct secure messaging: john.bonner@eyehealthpartners.direct.eyemdemr.com
• Direct secure messaging: jbonner@southeasteye.intellechartdirect.net

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.

• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1518961176

  GA

  Medicare reassignment Care Compare group NPD
• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1003437138
  NPD
• Southeast Eye Specialists, PLLC

  • Ophthalmology Physician
  • Soddy Daisy, TN
  • NPI 1750981189
  NPD
• Chattanooga Eye Institute,P.C.

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1265622450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crockett Hospital LLC

  • Rural Acute Care Hospital
  • Lawrenceburg, TN
  • NPI 1114003175
  Care Compare affiliation
• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1831151216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9453 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794751",
            "telephone_number": "423-332-8222",
            "fax_number": "423-332-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794751",
            "telephone_number": "423-332-8222",
            "fax_number": "423-332-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000028919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3840957",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspire Dermatology and Skin Surgery Center PLLC
• Back2Health Chiropractic TN LLC
• Nancy Chiles Beckham, R.N.
• Ryan Matthew Bellomy, AGACNP, FNP
• Benchmark Healthcare Services LLC
• Nicholas Eugene Bowman, DMD
• Boyd Intellectual Properties
• Jonnie Lucy E. Boyd, RN, BSN
• Bradley a. Shaffer, O.D., P.C.
• Julia Williams Briggs, D.D.S.

• Ophthalmology Physician in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.

Verify at the official NPI Registry.