Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Brock Bonner, NP-C

Individual provider Family Nurse Practitioner · NPI 1720755192

Daniel Brock Bonner, NP-C is a Nurse Practitioner in Thomasville, Georgia. Qualified in 2021, 5 years ago. Practices with Ccsg, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone: (229) 584-5670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN264248 (GA)

Record details

NPI number1720755192
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 15, 2021
Mailing address413 Junius St, Thomasville, GA 31792-7448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ccsg, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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