NPI age
5 years
Enumerated 2021-04-21
● Active
Type 1 · Individual
Deidra Bobbieann Bohannon
Bohannon is 1 of 551 pediatrics providers in Atlanta and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
2
In the 23% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Practice location
3885 Princeton Lakes Way Sw Ste 302
Atlanta, GA 303315590
Mailing address
3885 Princeton Lakes Way Sw Ste 302
Atlanta, GA 303315590
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3885 Princeton Lakes Way Sw Ste 302
Atlanta, GA 303315590
Location 3
145 McDonough Blvd Se
Atlanta, GA 303152339
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new pediatrics providers have been added in Atlanta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.