WYNDHAM ALEXANDER BONETT, MD — NPI 1609338748 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine in ATHENS, TN)

CMS-1500 Box 24J / 33a • NPI

1609338748

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208VP0014X (CMS 09)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine

Box 32 Service Location & ZIP+4

135 N MEADOWS DR STE C, ATHENS, TN, 37303-4172

✓ 9-Digit EDI 837 ZIP+4 (37303-4172)

Practice Phone & Referral Fax

(423) 648-8480

Fax: (423) 648-8481

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609338748 (WYNDHAM ALEXANDER BONETT, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1609338748` (NPI-1 Individual Practitioner)
Provider / Legal Name	WYNDHAM ALEXANDER BONETT, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine NUCC Code: `208VP0014X` (Pain Medicine, Interventional Pain Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	135 N MEADOWS DR STE C, ATHENS, TN, 37303-4172
Practice Telephone / Fax	Tel: (423) 648-8480 \| Fax: (423) 648-8481
Administrative Mailing Address	PO BOX 197517, NASHVILLE, TN, 37219-7517
Enumeration & Last Sync	Enumerated: 2019-04-05 \| CMS Record Updated: 2024-10-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

135 N MEADOWS DR STE C, ATHENS, TN, 37303-4172

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Plain-English Taxonomy & CMS Crosswalk (208VP0014X)

What Does Taxonomy Code 208VP0014X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0014X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 09 (Physician/Interventional Pain Management)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pain Medicine, Interventional Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WYNDHAM ALEXANDER BONETT, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: AL \| License: `MD.41341` \| Primary: Secondary
`208VP0014X` — Pain Medicine, Interventional Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine	State: TN \| License: `71520` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WYNDHAM ALEXANDER BONETT, MD (NPI #1609338748)