Provider Profile

Deidra B. Bohannon, PA

Unclaimed Profile

About Deidra Bohannon

Listed in the NPI registry as a physician assistant, Deidra B. Bohannon, PA practices in Atlanta, GA. Deidra is also listed as specializing in pediatrics. NPI 1588245450 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. 11295As reported
NPINational Provider Identifier
1588245450Issued 2021

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Deidra B. Bohannon's specialty?

Deidra B. Bohannon is a physician assistant in Atlanta, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Deidra B. Bohannon?

Deidra B. Bohannon is listed at 275 Collier Rd Nw Ste 300, Atlanta, GA 30309. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Deidra B. Bohannon?

The number on file is (404) 350-0009. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Deidra B. Bohannon's NPI number?

Deidra B. Bohannon's National Provider Identifier is 1588245450. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Deidra B. Bohannon's education?

Deidra B. Bohannon attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How long has Deidra B. Bohannon been practicing?

Deidra B. Bohannon has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Has Deidra B. Bohannon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Deidra B. Bohannon. If this is you, claiming it is free.

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