Doctor profile · Federal record

Dr. Deidra Bohannon

Pediatrics Physician · Physician Assistant · Student in an Organized Health Care Education/Training Program · Atlanta, GA

  • NPI 1588245450
  • 5 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
3885 Princeton Lakes Way Sw Ste 302
Atlanta, GA 303315590
(404) 629-1880
Additional location
145 McDonough Blvd Se
Atlanta, GA 303152339
(678) 362-3566

Credentials & registration

NPPES · NUCC
NPI registered
April 2021 — 5 yrs on file
Profile last updated
October 21, 2025
Specialty taxonomy
208000000X — NUCC code
State license (1)
Georgia #11295

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588245450. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
559
Distinct HCPCS
9
Medicare allowed
$18,731
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 172 22 $0
99213 Established patient office or other outpatient visit, 20-29 minutes 147 125 $71
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 55 52 $35
96372 Injection of drug or substance under skin or into muscle 45 37 $11
99203 New patient office or other outpatient visit, 30-44 minutes 41 41 $89
87804 Detection test by immunoassay with direct visual observation for influenza virus 38 18 $16
81003 Automated urinalysis test 28 25 $2
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 21 21 $16
99214 Established patient office or other outpatient visit, 30-39 minutes 12 12 $95

In context: peer comparison

Among 2 peers in this city , average services per provider: 58. This provider delivers 9.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
141
Patients
127
Total drug cost
$1,355
Drug Type Claims Patients Total cost
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 26 24 $258
Azithromycin Generic 24 23 $118
Methylprednisolone Generic 16 16 $148
Prednisone Generic 16 16 $165
Cephalexin Generic 13 13 $56
Paxlovid (Eua) (Nirmatrelvir/Ritonavir) Brand 13 13 $147
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 11 11 $274
Doxycycline Hyclate Generic 11 11 $99
Ondansetron Odt (Ondansetron) Brand 11 0 $89

Frequently asked questions

Auto-generated from federal data
What is Dr. Deidra Bohannon's medical specialty?
Dr. Deidra Bohannon practices Pediatrics Physician in Atlanta, GA.
Where does Dr. Deidra Bohannon practice?
Dr. Deidra Bohannon practices at 3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA 303315590. Office phone: 4046291880.
What is Dr. Deidra Bohannon's NPI?
Dr. Deidra Bohannon's National Provider Identifier (NPI) is 1588245450, issued by NPPES.
What procedures does Dr. Deidra Bohannon commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99213); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426). Source: CMS Medicare Physician & Other Practitioners file.