P Praxis·MD
● Active Type 1 · Individual

Katherine Pottinger Bohannon, D.O.

Pediatrics·Calham, GA· NPI 1669965489 · Enumerated 2018 · 7 years on NPI
Bohannon is 1 of 1 pediatrics providers in Calham and 1 of 2726 in Georgia.
NPI age
7 years
Enumerated 2018-06-07
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Practice location
204 Professional Ct. Se
Calham, GA 30701
📞 7066255900
Mailing address
204 Professional Court Se
Calham, GA 30701
📞 7067665643

Specialties

  • Pediatrics Primary
    A 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...
    GA license #88717GA license #010072 taxonomy 208000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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