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Stephen Joseph Bonanni Jr., PA

NPI 1760812895ActiveIndividual· Physician Assistant· Hinesville, GA

Physician Assistant (PA) with Privia Medical Group of Georgia LLC and 1 other group, practicing in Hinesville, Georgia. Enrolled in Medicare as practitioner - physician assistant. Axsome Therapeutics, Inc. was the largest of 7 companies reporting payments in 2025, $283.16 in all, mostly food and beverage.

Overview

NPI1760812895
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorYes
NPI issuedNov 27, 2013
Last updated in NPPESSep 16, 2025
Certified by providerSep 16, 2025
ReactivatedMay 9, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X12279GA
Physician Assistant363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$283.16 · 12 payments from 7 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$283.16 · 12 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Hinesville

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