Deidra Bobbieann Bohannon, PA is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Piedmont Specialty Hospital Billing Llc and her current practice location is
275 Collier Rd Nw Ste 300, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 350-0009.
Deidra Bobbieann Bohannon is licensed to practice in Georgia (license number 11295) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588245450.
Physician's Profile
| Full Name | Deidra Bobbieann Bohannon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 275 Collier Rd Nw Ste 300, Atlanta, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Deidra Bobbieann Bohannon graduated from medical school in 2022
NPI Data:
- NPI Number: 1588245450
- Provider Enumeration Date: 04/21/2021
- Last Update Date: 05/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113395641
- Enrollment ID: I20221115000456
Medical Identifiers
Medical identifiers for Deidra Bobbieann Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588245450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 11295 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 11295 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Specialty Hospital Billing Llc | 4183986490 | 250 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deidra Bobbieann Bohannon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Deidra Bobbieann Bohannon, PA
3885 Princeton Lakes Way Sw Ste 302,
Atlanta, GA 30331-5590
Ph: (404) 629-1880 | Deidra Bobbieann Bohannon, PA
275 Collier Rd Nw Ste 300,
Atlanta, GA 30309-1740
Ph: (404) 350-0009 |
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