P Praxis·MD
● Active Type 1 · Individual

DR. Anthony Charles Bonfiglio, M.D.

Psychiatry & Neurology·Fort Moore, GA· NPI 1821170465 · Enumerated 2006 · 19 years on NPI
Bonfiglio is 1 of 1 psychiatry & neurology providers in Fort Moore and 1 of 196 in Georgia.
NPI age
19 years
Enumerated 2006-10-20
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
HI
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 196 active psychiatry & neurology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 55% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624080429fax 7624082719
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624080429

Specialties

  • Psychiatry & Neurology Primary
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    HI license #MD14870 taxonomy 2084P0804X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    HI license #MD-14870 taxonomy 2084P0800X

Practice context

Part of a multi-provider practice. 115 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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