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

John Michael Bonham, PA-C

Individual provider Physician Assistant · NPI 1811462906

John Michael Bonham, PA-C is a Physician Assistant in Englewood, Tennessee. Qualified in 2018, 8 years ago. Practices with Rose Family Clinic, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3360 Highway 411 N
Englewood, TN 37329-5276
Phone: (423) 887-5131
Fax: (423) 887-5131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 N Ocoee St Ste 101, Cleveland, TN 37311-3953 — (423) 472-6548

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3722 (TN)

Record details

NPI number1811462906
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address1923 Sulphur Springs Rd, Morristown, TN 37813-5654

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rose Family Clinic — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare