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NPI 1386523637 · live from the CMS NPI Registry

Joselyn Maria Amadiz Bonilla, PA-C

Physician Assistant in Columbus, GA. National Provider Identifier 1386523637, active.

NPI record

NPI1386523637 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location2121 Warm Springs Rd, Columbus, GA 31904
Practice phone706-243-4500
EnumeratedAugust 30, 2025
Last updatedAugust 30, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.