NPI age
9 years
Enumerated 2016-08-29
● Active
Type 1 · Individual
MRS. Deaxtra Bonham, WHNP
Bonham is 1 of 78 nurse practitioner providers in Atlanta and 1 of 393 in Georgia.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, VA, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 393 active nurse practitioner providers in Georgia.
NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-08Enumerated in NPPES
2016
2026
Where they practice
Practice location
550 Peachtree St Ne Ste 1275
Atlanta, GA 303082240
Mailing address
550 Peachtree St Ne Ste 1275
Atlanta, GA 303082240
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
15425 Warwick Blvd Ste H
Newport News, VA 236081579
Location 3
4714 Marshall Ave
Newport News, VA 23607
Location 4
4714 Marshall Ave
Newport News, VA 23607
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003254615 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Atlanta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.