P Praxis·MD
● Active Type 1 · Individual

Mark W Bonner, MD

Dermatology·MacOn, GA· NPI 1811961600 · Enumerated 2006 · 20 years on NPI
Bonner is 1 of 10 dermatology providers in MacOn and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2006-02-16
Primary specialty
Dermatology
Plus 7 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
7
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1157 Forsyth St
MacOn, GA 31201
📞 4787458581fax 4783280438
Mailing address
2400 Bellevue Rd Ste 21a
Dublin, GA 310212890
📞 4782757202fax 4782748418

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #057047 taxonomy 207N00000X
  • Dermatology
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    GA license #057047 taxonomy 207NS0135X
  • Dermatology
    A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
    GA license #057047 taxonomy 207ND0900X
  • Dermatology
    A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these...
    GA license #057047 taxonomy 207NI0002X
  • Dermatology
    A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
    GA license #057047 taxonomy 207NP0225X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #057047 taxonomy 208D00000X
  • Pharmacist
    Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
    GA license #057047 taxonomy 1835P0018X
  • Pharmacist
    An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
    GA license #057047 taxonomy 183500000X

Identifiers

TypeValueNotes
05 (GA) 413577315A
01 (GA) DC4061 RAILROAD MEDICARE
01 (GA) P00258031 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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