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

Mark W Bonner, MD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1811961600

Mark W Bonner, MD is a Dermatology in Macon, Georgia. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1986, 40 years ago. Practices with Georgia Dermatology and Skin Cancer Center, LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
40
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
GA
In the registry since
2006
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1157 Forsyth St
Macon, GA 31201
Phone: (478) 745-8581
Fax: (478) 328-0438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 057047 (GA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 057047 (GA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 057047 (GA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 057047 (GA)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 057047 (GA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 057047 (GA)
Pharmacist Taxonomy 183500000X · Licence 057047 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 057047 (GA)

Record details

NPI number1811961600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing address2400 Bellevue Rd Ste 21a, Dublin, GA 31021-2890

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesGENERAL PRACTICE, PATHOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1986 (40 years in practice)
Group practice Georgia Dermatology And Skin Cancer Center, Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Macon