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

Gabrielle Alexia Bonner

Individual provider Physician Assistant · NPI 1497375885

Gabrielle Alexia Bonner is a Physician Assistant in Cordova, Tennessee. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with Cedar Recovery Center of Middle Tennessee, LLC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
In the registry since
2020
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Practice location Address checks out

1694 Torrington Ct
Cordova, TN 38016-2332
Phone: (901) 412-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497375885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2020
Last updated in NPPESApril 25, 2020
Certification dateApril 25, 2020
Mailing address1694 Torrington Ct, Cordova, TN 38016-2332

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cedar Recovery Center Of Middle Tennessee, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cordova