PKANITA BONNER MARION (NPI# 1598220717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598220717 |
| Entity Type | Individual |
| Full Name | PKANITA BONNER MARION |
| Other Name | PKANITA BONNER |
| Credential | NP |
| Practice Address |
8425 Mall Parkway Lithonia GA 30038 |
| Mailing Address |
Po Box 1395 Lithonia GA 30058-1395 |
| Practice Telephone | 6785261014 |
| Practice Fax Number | 6785261044 |
| Mailing Telephone | 2057679992 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F01191266 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8425 MALL PARKWAY |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| 1740442540 | Sechin Firmin | Dentist | 4616 Browns Mill Ln, Lithonia, GA 30038 | 2008-07-02 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489911 | Jamay R Logan | Nurse Practitioner | 6515 Chaparral Ln, Lithonia, GA 30038-3107 | 2019-04-02 |
| 1174018386 | Adekunle Olatunde | Nurse Practitioner | 2219 Clayton Rdg, Lithonia, GA 30058-2608 | 2018-06-29 |
| 1679076525 | Debra Ann Stover | Nurse Practitioner | 1350 Swift Creek Ct, Lithonia, GA 30058-3005 | 2018-03-16 |
| 1154856821 | Diedre Campbell | Nurse Practitioner | 6561 Shaffers Way, Lithonia, GA 30058-6427 | 2017-05-01 |
| 1851839484 | Karen Griffiths | Nurse Practitioner | 4836 Lantern Ct, Lithonia, GA 30038-7552 | 2017-02-02 |
| 1982057469 | Maxine Rockhead | Nurse Practitioner | 5332 Salem Springs Pl, Lithonia, GA 30038-4850 | 2016-07-19 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1063877587 | Lenice Murdock-cohen | Nurse Practitioner | 3641 Raiders Ridge Dr, Lithonia, GA 30038-3664 | 2015-12-28 |
| 1326413980 | Natalie Akerele | Nurse Practitioner | 7704 Outcrop Pass, Lithonia, GA 30058-6515 | 2015-12-08 |
| 1255604682 | Candace Weston | Nurse Practitioner | 6233 Marbut Farms Ln, Lithonia, GA 30058-8978 | 2012-02-15 |
| Find all providers in LITHONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.