Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deidra Bobbieann Bohannon, PA

Individual provider Pediatrics Physician · NPI 1588245450

Deidra Bobbieann Bohannon, PA is a Physician Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Specialty Hospital Billing LLC, a 249-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Phone: (404) 350-0009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 145 McDonough Blvd Se, Atlanta, GA 30315-2339 — (678) 362-3566
  • 3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA 30331-5590 — (404) 629-1880
  • 3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA 30331-5590 — (404) 629-1880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11295 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 11295 (GA)

Record details

NPI number1588245450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Piedmont Specialty Hospital Billing Llc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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