Individual provider Active NPI

Natalie Bernett Bonner, FNP

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1972018117
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP150033 Issued in GA
Practice address
101 Devant St
Fayetteville, GA 30214-2710
Phone
(770) 703-4448
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP150033 GA Primary

Addresses

Primary practice location

101 Devant St
Fayetteville, GA 30214-2710

Mailing address

810 Kirkly Way
Fairburn, GA 30213-2482
Phone (706) 332-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190803000006 GA Practitioner - Nurse Practitioner 7214264951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Innovative Therapy GroupGroup PAC ID 6406397231, 2 clinicians

Practice addresses (Care Compare)

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

690 Thornton Way
Suite a
Lithia Springs, GA 30122-2614
Phone (678) 324-0654

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP150033GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy Group CurrentSince Mar 1, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Mar 17, 2019 Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1850
Atlanta, GA 30339
Phone (770) 809-3036

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3999 Austell Rd
Ste 901
Austell, GA 30106
Phone (770) 809-3032

690 Thornton Way
Ste A
Lithia Springs, GA 30122
Phone (678) 324-0654

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1972018117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KIRKLY WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132482",
            "telephone_number": "706-332-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-703-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "NATALIE",
        "middle_name": "BERNETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP150033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.