Deidra Bohannon, PA
NPI 1588245450 · Physician Assistant · Atlanta, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deidra Bohannon, PA is a Physician Assistant provider in Atlanta, GA (NPI 1588245450).
Provider details
- NPI number
- 1588245450
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11295 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 3885 Princeton Lakes Way Sw Ste 302Atlanta, GA 30331-5590Phone: (404) 629-1880
- 3885 Princeton Lakes Way Sw Ste 302Atlanta, GA 30331-5590Phone: (404) 629-1880
- 145 Mcdonough Blvd SeAtlanta, GA 30315-2339Phone: (678) 362-3566
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Deidra Bohannon's NPI number?
- Deidra Bohannon's National Provider Identifier (NPI) is 1588245450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deidra Bohannon's specialty?
- Deidra Bohannon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Deidra Bohannon located?
- Deidra Bohannon's practice location on file with NPPES is 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740.
- What is Deidra Bohannon's phone number?
- The practice phone number listed in the NPPES registry for Deidra Bohannon is (404) 350-0009.
- Does Deidra Bohannon accept Medicare?
- Deidra Bohannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Deidra Bohannon's NPI active?
- Yes — Deidra Bohannon's NPI (1588245450) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.